Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | R3349 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | R3349 | TX |
NPI | 1497058523 |
---|---|
Provider Name | Christian Edward Isaac |
First Address | Frisco, TX 75036-7275 |
Second Address | Carrollton, TX 75010-4630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2010 |
Last Update Date | 23/06/2021 |