Provider Demographics
NPI:1831104702
Name:ISO-3, L.L.C.
Entity type:Organization
Organization Name:ISO-3, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARDOIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-299-3476
Mailing Address - Street 1:122 W WAY ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5225
Mailing Address - Country:US
Mailing Address - Phone:979-299-3476
Mailing Address - Fax:979-297-6379
Practice Address - Street 1:122 W WAY ST
Practice Address - Street 2:SUITE 406
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5225
Practice Address - Country:US
Practice Address - Phone:979-299-3476
Practice Address - Fax:979-297-6379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty