Individual
ISHA VANTERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9929 SPID DR, CORPUS CHRISTI, TX 78418-5105
(361) 500-3618
Mailing address
1802 ENNIS JOSLIN RD APT 6314, CORPUS CHRISTI, TX 78412-4347
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2141749
TX
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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