Sidratu Issa, EAGLES TRACE

NPI 1922537034 · on the registry since 2017

Practice

Address: 14703 Eagle Vista Dr
Houston, TX 77077
Phone: (832) 430-0138
Organisation at this address: Eagle'S Trace Inc
Eagle'S Trace Inc
Main Street Pharmacy, Llc
Eagle'S Trace Home Care, Llc
Erickson Health Medical Group Of Texas Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Nurse's Aide
376K00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-21

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