MEDICARE: ISAAC JHINGREE 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	207P00000X	Emergency Medicine Physician	K3264	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1679559181	OTHER	TX	TRICARE SOUTH
5	8F9285	OTHER	TX	BCBSTX PROV NO

General Provider Information

NPI Number	:	1679559181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISAAC JHINGREE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 200993
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77216-0993
Country	:	US
Telephone Number	:	281-784-1111
Fax Number	:	281-784-1555

Provider Business Practice Location Address
First Line	:	7515 GREENVILLE AVE STE 710
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-3848
Country	:	US
Telephone Number	:	972-863-6100
Fax Number	:	281-209-8930

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

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	11/16/2015

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