Individual provider · Type 1 NPI
Jessica Etinosa Isibor, MD
Student in an Organized Health Care Education/Training Program · Houston, TX
NPI number
1154023539
Active
Practice location
1941 East Rd
Houston, TX 77054-6010
Mailing address
3815 Eastside St Apt 7209
Houston, TX 77098-2048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1154023539
Jessica Etinosa Isibor, MD's National Provider Identifier is 1154023539, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on Apr 14, 2025.