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Contact Information

ISA MANAGEMENT SERVICES, LLC
712 N. WASHINGTON AVE
STE 500
DALLAS, TX75246
 Phone: 469-466-1243
 Fax: 469-533-4934
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ISA MANAGEMENT SERVICES, LLC

NPI Number 1528441946
LBN Legal business name ISA MANAGEMENT SERVICES, LLC
Authorized official MICHAEL IRIZARRY - (OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2015
Last updated 12/16/2016 - About 9 years ago
Identifiers
TX License # 30054
TX Medicaid 149167
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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