Individual
DR. GEORGE M HARIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 N GALLOWAY AVE, SUITE 210, MESQUITE, TX 75149-2476
(972) 270-7500
(972) 289-5900
Mailing address
929 N GALLOWAY AVE STE 221, MESQUITE, TX 75149-2491
(972) 270-7500
(972) 289-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H5897
TX
2086S0129X
Vascular Surgery Physician
H5897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J99Q
BLUE SHIELD
TX
01
—
020020220
RAILROAD MEDICARE
TX
05
—
034130701
—
TX
Enumeration date
06/01/2006
Last updated
09/19/2017
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