Individual provider · Type 1 NPI
Demetrius Isaac Sr.
Private Vehicle · League City, TX
NPI number
1689412769
Active
Practice location
4835 Dove Cove Ln
League City, TX 77573-7505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1689412769
Demetrius Isaac Sr.'s National Provider Identifier is 1689412769, issued on Jul 15, 2024. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in League City, TX. The record was last updated on Oct 16, 2024.