Healthcare Provider Details

I. General information

NPI: 1215687207
Provider Name (Legal Business Name): ISABELLA WILKERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ISABELLA OROZCO HUNG MD

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ALDINE MAIL ROUTE RD STE 200
HOUSTON TX
77039-5612
US

IV. Provider business mailing address

13930 BELLAIRE BLVD
HOUSTON TX
77083-1719
US

V. Phone/Fax

Practice location:
  • Phone: 713-773-0803
  • Fax:
Mailing address:
  • Phone: 713-773-0803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberV7036
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: