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DR. IRENE RAE WILLINGHAM M.D. NPI 1376570101


NPI Information

NPI: 1376570101
Provider Name: DR. IRENE RAE WILLINGHAM, M.D.
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual
Address:
4809 COLE AVE
SUITE 110
DALLAS, TX
ZIP 75205
Phone: (214) 526-8600
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DR. Irene Rae Willingham, M.D. is a neuromusculoskeletal medicine sports medicine in Dallas, TX. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ DR. Irene Rae Willingham, M.D. NPI is 1376570101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4809 COLE AVE
SUITE 110
DALLAS, TX
ZIP 75205-578
Phone: (214) 526-8600
Fax: (214) 443-3897

The enumeration date for this NPI number is 6/27/2006 and was last updated on 4/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineH0463TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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