Healthcare Provider Details

I. General information

NPI: 1134458003
Provider Name (Legal Business Name): SANJAI ISAAC MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2009
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3308 PRESTON RD STE 350-287
PLANO TX
75093-7453
US

IV. Provider business mailing address

3308 PRESTON RD STE 350-287
PLANO TX
75093-7453
US

V. Phone/Fax

Practice location:
  • Phone: 214-471-5975
  • Fax: 866-476-1204
Mailing address:
  • Phone: 214-471-5975
  • Fax: 866-476-1204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: SANJAI ISAAC
Title or Position: OWNER
Credential: MD
Phone: 214-471-5975