| Mark A. Isaeff, Md Pa | |
|
1303 Mccullough Ave 542 San Antonio TX 78212-5609 | |
| (210) 572-4431 | |
| (210) 572-4435 |
| Full Name | Mark A. Isaeff, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1303 Mccullough Ave, San Antonio, Texas |
| Authorized Official Name and Position | Mark A Isaeff (PRESIDENT) |
| Authorized Official Contact | 2105724431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Isaeff, Md Pa 1303 Mccullough Ave 542 San Antonio TX 78212-5609 Ph: (210) 572-4431 | Mark A. Isaeff, Md Pa 1303 Mccullough Ave 542 San Antonio TX 78212-5609 Ph: (210) 572-4431 |
| NPI Number | 1891090221 |
|---|---|
| Provider Enumeration Date | 01/16/2011 |
| Last Update Date | 04/14/2011 |
| Medicare PECOS PAC ID | 9830370451 |
|---|---|
| Medicare Enrollment ID | O20110301001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891090221 | NPI | - | NPPES |
| 218930001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark A Isaeff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104815075 PECOS PAC ID: 1951437805 Enrollment ID: I20100416000231 |
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