Individual
JIMMY DAVID GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4942
(713) 442-0426
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396459501
—
TX
Enumeration date
02/22/2019
Last updated
07/01/2021
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