Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 15834 | NV |
N | 207Q00000X | Family Doctor | L2341 | TX |
N | 207QS0010X | Family Doctor - Sports Medicine | 15834 | NV |
N | 207QS0010X | Family Doctor - Sports Medicine | L2341 | TX |
NPI | 1265490205 |
---|---|
Provider Name | Arthur Anthony Islas |
First Address | Reno, NV 89503 |
Second Address | Reno, NV 89557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 29/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144126301 | (05) | TX |
8G9680 | BCBS OF TEXAS (01) | TX |
H39601 | (02) | TX |