Provider Demographics
NPI:1942863048
Name:BROWN, ISAIAH D (MD, MS)
Entity type:Individual
Prefix:
First Name:ISAIAH
Middle Name:D
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:PO BOX 650002
Mailing Address - Street 2:DEPT D8288
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265
Mailing Address - Country:US
Mailing Address - Phone:800-841-4236
Mailing Address - Fax:985-265-0539
Practice Address - Street 1:8715 VILLAGE DR STE 320
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5407
Practice Address - Country:US
Practice Address - Phone:210-455-0167
Practice Address - Fax:210-455-0169
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-16
Last Update Date:2025-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA182293207R00000X
TXV68812085R0202X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine