MR. Demetrius Isaac SR.
NPI #1689412769 in League City, Texas
Provider Information
- NPI Number
- 1689412769
- Entity Type
- Individual
- Name
- MR. Demetrius Isaac SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Jul 15, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 4835 DOVE COVE LN
- City
- League City
- State
- Texas
- ZIP Code
- 77573-7505
- Phone
- (314) 807-0419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
| Non-emergency Medical Transport (VAN) |
| Private Vehicle |
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