Provider Demographics
NPI:1316139850
Name:ISA, AMEENA (MD)
Entity type:Individual
Prefix:
First Name:AMEENA
Middle Name:
Last Name:ISA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1700 ALMA DR STE 580
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7009
Mailing Address - Country:US
Mailing Address - Phone:469-344-1414
Mailing Address - Fax:469-863-7088
Practice Address - Street 1:1700 ALMA DR STE 580
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7009
Practice Address - Country:US
Practice Address - Phone:469-344-1414
Practice Address - Fax:469-863-7088
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP50832084P0804X, 202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine