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Isamu Tachibana
Urology Physician in Dallas, Texas
NPI 1164871158

Isamu Tachibana is a Urology Physician based in Indianapolis, TX. Isamu Tachibana practices in Dallas, TX. The NPI Number for Isamu Tachibana is 1164871158 and holds a License No. 11018895A (Texas).

The current practice location address for Isamu Tachibana is 2001 Inwood Rd, Dallas, TX and can be reached out via phone at 214-645-8765.

Location: 2001 Inwood Rd, Dallas, TX, 46202-5116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164871158
Provider Name
Isamu Tachibana
Credential
Provider Entity Type
Individual
Gender
Male
Address
2001 Inwood Rd, Dallas, TX, 46202-5116
Phone Number
214-645-8765
Fax Number
Provider Enumeration Date
06/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 Inwood Rd
City
Dallas
State
Texas
Zip
75390-5116
Phone Number
214-645-8765
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Inwood Rd
City
Dallas
State
Texas
Zip
75390-5116
Phone Number
214-645-8765
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
U3028 (Texas)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11018895A (Indiana)
Definition
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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