George, Camille Jacob
George, Camille Jacob is an individual health care provider with primary practice located at 4126 Southwest Freeway Suite 300, Houston TX 77027-7316. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. George, Camille Jacob can be contacted via phone (713) 572-0030.Contact Information
Primary practice address
4126 Southwest Freeway Suite 300
Houston TX 77027-7316
Phone: (713) 572-0030
Fax: (713) 572-0040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | J4817 | Texas |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | J4817 | Texas |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | J4817 | Texas |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | J4817 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | J4817 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | J4817 | Texas |
Profile Details
| NPI number | 1700979853 |
|---|---|
| LBN Legal business name | George, Camille Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Sep 16th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700979853 | NPPES |
| Texas | Other | 5470210 | AETNA |
| Texas | Other | 80620G | AETNA |
| Texas | MEDICAID | 0373904-01 | AETNA |
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