Healthcare Provider Details

I. General information

NPI: 1922623446
Provider Name (Legal Business Name): KURT MARC ISAAC-ELDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6907 N CAPITAL OF TEXAS HWY STE 240
AUSTIN TX
78731-1710
US

IV. Provider business mailing address

19500 IH 10 W STOP 2-4090
SAN ANTONIO TX
78257-9509
US

V. Phone/Fax

Practice location:
  • Phone: 512-458-1121
  • Fax: 210-617-4075
Mailing address:
  • Phone: 210-762-3662
  • Fax: 210-617-4075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberU4225
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: