George, Gerald G

George, Gerald G is an individual health care provider with primary practice located at 5224 S State Highway 360 Ste 230 , Grand Prairie TX 75052-0964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. George, Gerald G can be contacted via phone (972) 522-0691.

Contact Information

Primary practice address
5224 S State Highway 360 Ste 230 Grand Prairie TX 75052-0964
Phone: (972) 522-0691
Fax: (972) 522-1053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K0473 Texas

Profile Details

NPI number 1356316772
LBN Legal business name George, Gerald G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Oct 6th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356316772 NPPES
Texas MEDICAID 146001602
Texas Other 8A7049

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