Provider Demographics
NPI:1275639627
Name:ARZU, ISIDORA Y (MD PHD)
Entity Type:Individual
Prefix:
First Name:ISIDORA
Middle Name:Y
Last Name:ARZU
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK99962085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00016166OtherRR MEDICARE
TXP00323347OtherRR MCR (MDAPN - GRP 4)
TX8K5081OtherBCBS (MDAPN - GRP 4)
TX157792602 (MDAPN)Medicaid
TX8G5026OtherBCBS
TX157792601Medicaid
TXP00323347OtherRR MCR (MDAPN - GRP 4)
TX8K5081OtherBCBS (MDAPN - GRP 4)
TX8B4412 (MDAPN -GRP4)Medicare PIN