Provider Demographics
NPI:1447297965
Name:JUAREZ, MARIA ISABEL (M D)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:JUAREZ
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ISABEL
Other - Last Name:JUAREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:M D
Mailing Address - Street 1:310 E HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-4159
Mailing Address - Country:US
Mailing Address - Phone:972-283-2389
Mailing Address - Fax:972-283-2473
Practice Address - Street 1:310 E HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-4159
Practice Address - Country:US
Practice Address - Phone:469-800-9300
Practice Address - Fax:469-800-9310
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0849207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85Z553OtherBLUE CROSS BLUE SHIELD
TX044541302Medicaid
TX044541301Medicaid
TX044541302Medicaid
TX8F3795Medicare PIN
TXG76532Medicare UPIN
TX85Z553Medicare PIN