Provider Demographics
NPI:1679559181
Name:JHINGREE, ISAAC (MD)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:JHINGREE
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:PO BOX 200993
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77216-0993
Mailing Address - Country:US
Mailing Address - Phone:281-784-1111
Mailing Address - Fax:281-784-1555
Practice Address - Street 1:7515 GREENVILLE AVE STE 710
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3848
Practice Address - Country:US
Practice Address - Phone:972-863-6100
Practice Address - Fax:281-209-8930
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3264207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131243108Medicaid
TX131243114Medicaid
TX131243107Medicaid
TX1679559181OtherTRICARE SOUTH
TX8F9285OtherBCBSTX PROV NO
TX131243108Medicaid
TX131243107Medicaid
TX131243114Medicaid
TX293554ZG6FMedicare PIN
TX1679559181Medicare PIN
TX8509B2Medicare PIN
TX930117309Medicare PIN