Individual
TIMOTHY JOHN GEORGELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 W CAMPBELL RD, SUITE 201, RICHARDSON, TX 75080-3465
(972) 498-4000
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G2140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U5020
BCBS
—
Enumeration date
04/17/2006
Last updated
04/11/2008
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