Individual
MARIADA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 S COULTER ST STE 1, AMARILLO, TX 79106-1787
(806) 354-0404
(806) 354-2810
Mailing address
1500 S COULTER ST STE 1, AMARILLO, TX 79106-1787
(806) 354-0404
(806) 354-2810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L1325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081138202
—
TX
01
—
113453100
FIRST CARE
TX
05
—
144209701
—
TX
01
—
8B5400
BCBS
TX
Enumeration date
08/08/2006
Last updated
04/14/2020
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