Individual
DOMINIQUE J ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10401 ANDERSON MILL RD, SUITE 110B, AUSTIN, TX 78750-2581
(512) 250-5571
(512) 406-7300
Mailing address
4515 SETON CENTER PKWY, SUITE 215, AUSTIN, TX 78759-5290
(512) 231-5506
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179537901
—
TX
05
—
179537902
—
TX
05
—
P00401342
—
TX
Enumeration date
07/31/2006
Last updated
01/05/2016
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