George, Mariada

George, Mariada is an individual health care provider with primary practice located at 1500 S Coulter St Ste 1 , Amarillo TX 79106-1787. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. George, Mariada can be contacted via phone (806) 354-0404.

Contact Information

Primary practice address
1500 S Coulter St Ste 1 Amarillo TX 79106-1787
Fax: (806) 354-2810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L1325 Texas

Profile Details

NPI number 1275543001
LBN Legal business name George, Mariada
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 14th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275543001 NPPES
Texas Other 113453100 FIRST CARE
Texas MEDICAID 144209701 FIRST CARE
Texas MEDICAID 081138202 FIRST CARE
Texas Other 8B5400 FIRST CARE
Texas Other 113453100 FIRST CARE

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