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Individual

TIKKU GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2331 MUSTANG DR # 400, GRAPEVINE, TX 76051-1013
(903) 893-5141
Mailing address
2331 MUSTANG DR # 400, GRAPEVINE, TX 76051-1013
(903) 893-5141

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
U9531
TX
2084N0600X
Clinical Neurophysiology Physician
036165260
IL
390200000X
Student in an Organized Health Care Education/Training Program
MO

Other

Enumeration date
05/01/2019
Last updated
05/05/2025
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