MR. DEMETRIUS ISAAC SR.

Private Vehicle

Active Individual
NPI: 1689412769

Practice Address

4835 DOVE COVE LN
League City, TX 77573

Phone: (314) 807-0419

Specialties

Specialty Code Primary License
Driver 172A00000X No -
Non-emergency Medical Transport (VAN) 343900000X No -
Private Vehicle 347C00000X Yes -

Frequently Asked Questions

NPI 1689412769 is the National Provider Identifier for MR. DEMETRIUS ISAAC SR., a Private Vehicle provider located in League City, TX. This NPI was enumerated on July 15, 2024.
MR. DEMETRIUS ISAAC SR. practices at 4835 DOVE COVE LN, League City, TX 77573.

Quick Facts

NPI
1689412769
Type
Individual
Enumerated
Jul 15, 2024
Last Updated
Oct 16, 2024

Nearby Providers