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Individual
DR. JERRY PAYIKKADA GEORGE
Active
Individual
DR. JERRY PAYIKKADA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R8356
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
31167
OK
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
R8356
TX
Other
Enumeration date
05/10/2012
Last updated
05/06/2020
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