MEDICARE: SANJAI ISAAC MD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician
2	207L00000X	Anesthesiology Physician		TX

General Provider Information

NPI Number	:	1134458003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANJAI ISAAC MD, PA

Provider Business Mailing Address
First Line	:	3308 PRESTON RD STE 350-287
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7453
Country	:	US
Telephone Number	:	214-471-5975
Fax Number	:	866-476-1204

Provider Business Practice Location Address
First Line	:	3308 PRESTON RD STE 350-287
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7453
Country	:	US
Telephone Number	:	214-471-5975
Fax Number	:	866-476-1204

Authorized Official
Title or Position	:	OWNER
Name	:	SANJAI ISAAC
Credential	:	MD
Telephone Number	:	214-471-5975

Provider Enumeration Date	:	12/23/2009
Last Update Date	:	05/12/2021

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