Individual
DR. GEORGE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8611 HILLCREST AVE, DALLAS, TX 75225-4203
(214) 692-3100
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K2503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117126604
—
TX
05
—
117126606
—
TX
05
—
117126607
—
TX
05
—
117126608
—
TX
05
—
117126609
—
TX
05
—
117126610
—
TX
05
—
117126611
—
TX
05
—
117126612
—
TX
05
—
117126613
—
TX
05
—
117126614
—
TX
05
—
117126615
—
TX
01
—
8P9001
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/14/2005
Last updated
06/26/2025
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