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: |