MEDICARE: DR. RAUL D ISERN JR. M.D.

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	2084P0804X	Child & Adolescent Psychiatry Physician	H3476	TX

General Provider Information

NPI Number	:	1417081852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAUL D ISERN JR. M.D.

Provider Business Mailing Address
First Line	:	3560 DELAWARE ST STE 1002
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-3026
Country	:	US
Telephone Number	:	409-835-2677
Fax Number	:	409-835-0464

Provider Business Practice Location Address
First Line	:	3560 DELAWARE ST STE 1002
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-3026
Country	:	US
Telephone Number	:	409-835-2677
Fax Number	:	409-835-0464

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	01/19/2026

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