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General NPI Number Information
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NPI Number | 1487787602
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Entity Type | Individual
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Provider Name | ISIL HALAC M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 601 RIVER POINTE DR STE 120
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City | CONROE
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State | TX
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Zip | 77304-2943
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Country | US
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Telephone | 936-788-6060
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Fax | 219-844-9006
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Provider Business Mailing Address
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Address Line | 601 RIVER POINTE DR STE 120
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City | CONROE
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State | TX
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Zip | 77304-2943
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Country | US
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Telephone | 936-788-6060
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01064230A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | U9539
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License Number State | TX
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