Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 572045 | TX |
NPI | 1306889977 |
---|---|
Provider Name | Mrs. Laura Jean Isaacson |
First Address | Missouri City, TX 77459-5074 |
Second Address | Houston, TX 77002-8319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 08/07/2007 |