Individual
DR. MATTHEW JAMES ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 W. GRAND PARKWAY, KATY, TX 77449-2853
(713) 442-4222
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
M4196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212118806
—
TX
05
—
212118807
—
TX
05
—
212118808
—
TX
01
—
8CJ867
BC/BS OF TEXAS
TX
Enumeration date
06/01/2006
Last updated
06/08/2020
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