Individual
DR. GEORGE MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10496 KATY FWY STE 130, HOUSTON, TX 77043
(713) 464-2928
(713) 464-6560
Mailing address
1331 W GRAND PKWY N STE 130, KATY, TX 77493-2711
(281) 392-3401
(281) 392-7814
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
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