Organization
GEORGE F. MORICZ, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE F. MORICZ M.D. (OWNER)
(903) 794-6962
Entity
Organization
Contact information
Practice address
1002 TEXAS BLVD STE 301, TEXARKANA, TX 75501-5118
(903) 794-6962
(903) 794-7139
Mailing address
1002 TEXAS BLVD STE 301, TEXARKANA, TX 75501-5118
(903) 794-6962
(903) 794-7139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L2483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145772001
—
AR
05
—
146132901
—
TX
Enumeration date
04/28/2008
Last updated
04/28/2008
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