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General NPI Number Information
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NPI Number | 1811170913
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Entity Type | Individual
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Provider Name | ISAAC JOON CHOI M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 9229 LBJ FWY
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City | DALLAS
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State | TX
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Zip | 75243-3405
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Country | US
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Telephone | 972-739-3019
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Fax | 469-675-6379
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Provider Business Mailing Address
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Address Line | 635 CALLAWAY DR
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City | BEAUMONT
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State | TX
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Zip | 77706-6212
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Country | US
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Telephone | 832-725-2286
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Fax | 718-635-7228
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | PEND
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License Number State | TX
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