Provider Demographics
NPI:1386688281
Name:ISAACS, S MARSHAL (MD)
Entity Type:Individual
Prefix:
First Name:S MARSHAL
Middle Name:
Last Name:ISAACS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:MC 8579
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8579
Mailing Address - Country:US
Mailing Address - Phone:214-648-6739
Mailing Address - Fax:214-648-8423
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:MC 8579
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-8579
Practice Address - Country:US
Practice Address - Phone:214-648-6739
Practice Address - Fax:214-648-8423
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4825207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00156837OtherRAILROAD MEDICARE
CAOOG719350Medicaid
CAP00156837OtherRAILROAD MEDICARE
CAOOG719350Medicaid