NPI Code Details Logo

NPI 1427178995

NPI 1427178995 : RAUL D. ISERN JR M.D.P.A : BEAUMONT, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1427178995
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RAUL D. ISERN JR M.D.P.A 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/30/2007
-----------------------------------------------------
    Last Update Date     |    06/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3560 DELAWARE ST STE 1002 
-----------------------------------------------------
    City                 |    BEAUMONT
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77706-3026
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    409-835-2677
-----------------------------------------------------
    Fax                  |    409-835-0464
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3438 FANNIN ST BLDG. 3
-----------------------------------------------------
    City                 |    BEAUMONT
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77701-3803
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    409-835-2677
-----------------------------------------------------
    Fax                  |    409-835-0464
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    DR. RAUL D. ISERN JR.
-----------------------------------------------------
    Credential           |    M. D.
-----------------------------------------------------
    Telephone            |    409-835-2677
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0804X
-----------------------------------------------------
    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.