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Individual

DR. TIMOTHY KILIAN GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 N WASHINGTON AVE, ODESSA, TX 79761-5413
(432) 335-8275
(432) 334-0687
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
H7738
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00033431
NM
05
136959701
TX
05
136959703
TX
05
136959704
TX
01
136959708
CSHCN
TX
05
136959711
TX
01
8R1595
BLUE CROSS OF TEXAS
TX
01
900003012
RR MEDICARE
TX
Enumeration date
06/12/2006
Last updated
08/15/2014
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