DR. IRENE RAE WILLINGHAM M.D.
NPI 1376570101
Neuromusculoskeletal Medicine, Sports Medicine in Dallas, TX

Active since June 27, 2006
4809 COLE AVE, SUITE 110, DALLAS, TX 75205(214) 526-8600(214) 443-3897 Get Directions Write a Review

NPPES record last updated: April 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Irene Rae Willingham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IRENE RAE WILLINGHAM M.D. (NPI 1376570101) is an individual neuromusculoskeletal medicine, sports medicine provider in Dallas, Texas, licensed in Texas (H0463) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1376570101
Entity TypeIndividualFemale
Primary Taxonomy204C00000X
Provider Legal NameDR. IRENE RAE WILLINGHAMCredential: M.D.
Location Address4809 COLE AVE, SUITE 110Dallas, TX 75205-3578
Mailing Address4809 Cole Ave, Suite 110Dallas, TX 75205-3578 · (214) 526-8600 · Fax (214) 443-3897
Fax(214) 443-3897
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateApril 11, 2009
NPI 1376570101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License Licensed in TX · H0463
Definition
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/
4809 COLE AVE, Dallas, TX 75205

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4809 COLE AVE, SUITE 110
DALLAS, TX 75205
Physical Therapist
4809 COLE AVE, SUITE 110
DALLAS, TX 75205
Clinical Medical Laboratory
4809 COLE AVE, 346
DALLAS, TX 75205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Willingham's NPI number?

The NPI number for Irene Willingham is 1376570101. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Irene Willingham located?

Irene Willingham practices at 4809 Cole Ave Suite 110, Dallas, TX 75205. The listed phone number is (214) 526-8600.

What is Irene Willingham's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Irene Willingham was last updated on April 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.