Individual
DR. ISIL HALAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 RIVER POINTE DR STE 120, CONROE, TX 77304-2943
(936) 788-6060
(219) 844-9006
Mailing address
601 RIVER POINTE DR STE 120, CONROE, TX 77304-2943
(936) 788-6060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01064230A
IN
208000000X
Pediatrics Physician
Primary
U9539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191360049
MEDICARE PTAN
IN
05
—
300037734
—
IN
Enumeration date
03/14/2007
Last updated
09/16/2024
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