Provider Demographics
NPI:1629079439
Name:ISAACS, LINDA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LEE
Last Name:ISAACS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W WILLIAM CANNON DR STE 603
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5320
Mailing Address - Country:US
Mailing Address - Phone:737-208-0831
Mailing Address - Fax:737-242-8223
Practice Address - Street 1:2500 W WILLIAM CANNON DR STE 603
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5320
Practice Address - Country:US
Practice Address - Phone:737-208-0831
Practice Address - Fax:737-242-8223
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0590207R00000X
NY178484207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
032511OtherPROVIDER NUMBER
032511OtherPROVIDER NUMBER