Organization
GEORGE C BAKATSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE C BAKATSAS DPM (PHYSICIAN)
(832) 768-6142
Entity
Organization
Contact information
Practice address
6849 82ND STREET, SUITE 102, LUBBOCK, TX 79424
(806) 300-0134
(806) 300-0851
Mailing address
PO BOX 98, WOLFFORTH, TX 79382-0098
(806) 300-0134
(806) 300-0851
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092745101
—
TX
Enumeration date
11/21/2007
Last updated
06/06/2018
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