Provider Demographics
NPI:1396292090
Name:DOAN, ISABELLA TUYEN (PHARMD)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:TUYEN
Last Name:DOAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 ROLLING GREEN DR APT 314
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-2626
Mailing Address - Country:US
Mailing Address - Phone:405-445-9944
Mailing Address - Fax:
Practice Address - Street 1:4565 S 1ST ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-1427
Practice Address - Country:US
Practice Address - Phone:325-690-9668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist