Provider Demographics
NPI:1801858097
Name:IRR, WILLIAM G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:IRR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 2510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-704-7100
Mailing Address - Fax:713-704-1796
Practice Address - Street 1:6700 WEST LOOP S
Practice Address - Street 2:SUITE 400
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4104
Practice Address - Country:US
Practice Address - Phone:713-795-4785
Practice Address - Fax:713-795-5426
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2013-07-11
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Provider Licenses
StateLicense IDTaxonomies
TXJ82792084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153449704OtherMISCHER GRP MDCD HARRIS CO TPI
TX0035TDOtherMISCHER BCBSTX GRP PROV REC
TX00106WOtherMISCHER GRP MDCR PTAN HARRIS CO
G10447Medicare UPIN