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Individual
MRS. MINI GEORGE
Active
Individual
MRS. MINI GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
121310
TX
363LF0000X
Family Nurse Practitioner
807047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291108306
—
TX
01
—
291108307
CSHCN MEDICAID
TX
01
—
8LW231
BCBS
TX
Enumeration date
01/10/2012
Last updated
12/18/2019
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