Isaeff, Mark A

Isaeff, Mark A is an sole proprietor health care provider with primary practice located at 1303 Mccullough Ave Suite 542, San Antonio TX 78212-5607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Isaeff, Mark A can be contacted via phone (210) 572-4431.

Contact Information

Primary practice address
1303 Mccullough Ave Suite 542 San Antonio TX 78212-5607
Phone: (210) 572-4431
Fax: (210) 572-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K8638 Texas

Profile Details

NPI number 1104815075
LBN Legal business name Isaeff, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Apr 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104815075 NPPES
Texas Other 110241471 RAILROAD MEDICARE
Texas MEDICAID 144897204 RAILROAD MEDICARE
Texas MEDICAID 144867202 RAILROAD MEDICARE

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