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Individual

MONA A EISSA

Active
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Individual

MONA A EISSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J7946
TX
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
J7946
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88Y659
BCBS
TX
Enumeration date
06/11/2006
Last updated
12/03/2007
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