Individual
ANNA O'MELIA ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 SOUTH 4TH STREET, CANADIAN, TX 79014
(806) 323-8882
(806) 323-6108
Mailing address
1010 SOUTH 4TH STREET, CANADIAN, TX 79014
(806) 323-8882
(806) 323-6108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R2132
TX
207Q00000X
Family Medicine Physician
Primary
R2132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3756587
—
TX
Enumeration date
03/30/2015
Last updated
07/21/2020
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