NPI 1376570101

Irene Rae Willingham, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Dallas, TX

Practice location

Address: 4809 Cole Ave Suite 110, Dallas, TX 75205-3578
Phone: (214) 526-8600
Fax: (214) 443-3897

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence H0463 (TX)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Texas →

Registry record

NPI: 1376570101
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2006
Record last updated: 11 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.