Dr. Samantha Lee Irwin, MB BCh BAO; FRCPC
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Austin, TX. Individual provider (NPI-1).
NPI number1184141012
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1184141012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samantha Lee Irwin
- Credential
- MB BCh BAO; FRCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2017
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | U1926 | TX | Yes |
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 151299 | CA |
Practice location
4910 Mueller Blvd Ste 300Austin, TX 78723-3079
Phone 512-628-1855
Mailing address
4910 Mueller Blvd Ste 300Austin, TX 78723-3079
Phone 512-628-1855 · Fax 512-380-7544
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