Individual
GEORGE C BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4312 HERITAGE TRACE PKWY STE 700, FORT WORTH, TX 76244
(214) 915-8506
(682) 223-5006
Mailing address
3600 GASTON AVE STE 1205, DALLAS, TX 75246-1812
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R3794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606598YND4
MEDICARE 99
TX
01
—
606598YNEC
MEDICARE
TX
01
—
606598YNED
MEDICARE DALLAS
TX
Enumeration date
06/22/2012
Last updated
06/06/2018
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