SearchTexas225100000X

Isaac Deanda

NPI 1760183131 · on the registry since 2023 · sole proprietor

Practice

Address
10404 Morning Dew St
Fort Worth, TX 76108
Phone
(325) 267-4111

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas