Individual
DR. GEORGE MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
F6283
TX
207RI0011X
Interventional Cardiology Physician
Primary
F6283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060013537
RAILROAD MEDICARE
TX
05
—
124681104
—
TX
01
—
683284
AETNA
TX
01
—
817899
BC/BS
TX
Enumeration date
04/20/2006
Last updated
10/04/2018
Update your record
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