Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | L9258 | TX |
N | 207YP0228X | Pediatric Otolaryngology | L9258 | TX |
NPI | 1093740086 |
---|---|
Provider Name | Dr. Brandon Isaacson |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 14/04/2016 |