Provider Demographics
NPI:1285905828
Name:ISAACKS, ALANA L (PA)
Entity type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:L
Last Name:ISAACKS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15310 MISTY DAWN TRL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5893
Mailing Address - Country:US
Mailing Address - Phone:281-222-9698
Mailing Address - Fax:
Practice Address - Street 1:455 SCHOOL ST STE 49
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4688
Practice Address - Country:US
Practice Address - Phone:281-351-9823
Practice Address - Fax:281-351-7711
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02873363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant