Irwin, Teresa Lynn

Irwin, Teresa Lynn is an individual health care provider with primary practice located at 1305 Wonder World Dr Suite 209, San Marcos TX 78666-7546. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Irwin, Teresa Lynn can be contacted via phone (512) 396-7575.

Contact Information

Primary practice address
1305 Wonder World Dr Suite 209 San Marcos TX 78666-7546
Phone: (512) 396-7575
Fax: (512) 396-7555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K3911 Texas
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X TX-K3911 Texas

Profile Details

NPI number 1255330064
LBN Legal business name Irwin, Teresa Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Nov 4th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255330064 NPPES
Texas MEDICAID 0310765-02

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