Individual
GEORGIE A. EAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D..
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K6841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148414902
—
TX
01
—
148414903
MEDICAID CSHCN
TX
01
—
8C0612
BCBS
TX
Enumeration date
10/11/2006
Last updated
02/02/2021
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