Most Relevant Information
Provider Data
| NPI Number: | 1003558495 |
| Provider Name: | ISAAC LILL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2022 |
| Last Updated: | 04/07/2022 |
Provider Practice Location
1 BAYLOR PLZ
HOUSTON
TX
770303498
Practice Location Phone/Fax
| Phone: | 7137984951 |
| Fax: |
Provider Mailing Location
6401 MAPLE AVE APT 8102
DALLAS
TX
752355525
Provider Mailing Phone/Fax
| Phone: | 5127400124 |
| Fax: |