| Doctor Name: | THOMAS WALTER IRVING |
| NPI Number: | 1942252846 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 8971 |
| Business Practice Address: | 3401 Medical Park Dr Bldg 1 Ste 102 Mobile, AL - 366933318 |
| Business Phone Number: | 2516658060 |
| Business Fax Number: | 2516658061 |
| Mailing Address: | 5320 Hwy 90 Service Road, MOBILE |
| State: | AL |
| Postal Code: | 36619 |
| Phone Number: | 2516021667 |
| Fax Number: | 2516025660 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 09/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 8971 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |