Individual
BAIJU ISSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-6428
(214) 590-7123
Mailing address
1517 BOSQUE DR, CARROLLTON, TX 75010-6428
(469) 579-7172
Taxonomy
Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
766127
TX
163WX1100X
Ophthalmic Registered Nurse
Primary
AP129628
TX
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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