Provider Demographics
NPI:1114802956
Name:JIRKA, ISABELLA MARIA
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:MARIA
Last Name:JIRKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16474 REVELLO DR
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-5159
Mailing Address - Country:US
Mailing Address - Phone:210-863-9607
Mailing Address - Fax:
Practice Address - Street 1:16474 REVELLO DR
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-5159
Practice Address - Country:US
Practice Address - Phone:210-863-9607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program