Individual
ISAAC LAVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
313 E 12TH ST, AUSTIN, TX 78701-1954
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M0786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177541301
—
TX
Enumeration date
12/15/2006
Last updated
07/02/2009
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