Individual
BILL CALVIN ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
817 HILLSIDE AVENUE, CANADIAN, TX 79014
(806) 323-9307
Mailing address
817 HILLSIDE AVENUE, CANADIAN, TX 79014
(806) 323-9307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F4112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033060701
—
TX
Enumeration date
03/22/2007
Last updated
07/08/2007
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