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Individual

MR. GEORGE SCHROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Mailing address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F3604
TX
207RI0011X
Interventional Cardiology Physician
F3604
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136126309
TX
05
136126310
TX
05
136126311
TX
05
136126312
TX
05
136126313
TX
05
136126315
TX
05
136126316
TX
01
1487665097
BLUE CROSS BLUE SHIELD
TX
05
1822591
LA
01
8CB396
BCBS
TX
01
P00849862
MEDICARE RAILROAD
TX
01
P01037133
RR MEDICARE
TX
01
P01309351
RR MEDICARE
TX
Enumeration date
08/10/2006
Last updated
10/19/2017
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