MEDICARE: RAUL D. ISERN JR M.D.P.A

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	460-11-9818	OTHER		SS#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427178995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAUL D. ISERN JR M.D.P.A

Provider Business Mailing Address
First Line	:	3438 FANNIN ST
Second Line	:	BLDG. 3
City	:	BEAUMONT
State	:	TX
Zip	:	77701-3803
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	:	PRESIDENT
Name	:	DR. RAUL D. ISERN JR.
Credential	:	M. D.
Telephone Number	:	409-835-2677

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	06/24/2025

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