MEDICARE: DR. JOHN ISAAC M.B.B.S

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	2080N0001X	Neonatal-Perinatal Medicine Physician	K 6013	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427001890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ISAAC M.B.B.S

Provider Business Mailing Address
First Line	:	5430 FREDERICKSBURG RD
Second Line	:	SUITE 508
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3539
Country	:	US
Telephone Number	:	210-541-8281
Fax Number	:	210-541-9123

Provider Business Practice Location Address
First Line	:	5430 FREDERICKSBURG RD
Second Line	:	SUITE 508
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3539
Country	:	US
Telephone Number	:	210-541-8281
Fax Number	:	210-541-9123

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	11/24/2021

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