Individual
JOHN CHARLES ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST, STE 620, HOUSTON, TX 77030-2761
(713) 791-1978
(713) 791-1870
Mailing address
6560 FANNIN ST, STE 620, HOUSTON, TX 77030-2761
(713) 791-1978
(713) 791-1870
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
K4090
TX
207RI0011X
Interventional Cardiology Physician
Primary
K4090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151665001
—
TX
01
—
K4090
PHYSICIAN LICENSE
TX
Enumeration date
04/17/2006
Last updated
10/25/2016
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