Organization
DAVID W. ISAAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE T JOLLY (NURSE PRACTITIONER)
(915) 838-0100
Entity
Organization
Contact information
Practice address
3901 N MESA ST, EL PASO, TX 79902-1501
(915) 838-0100
(915) 838-0122
Mailing address
3901 N MESA ST, EL PASO, TX 79902-1501
(915) 838-0100
(915) 838-0122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9713
TX
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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