Individual
CAMILLE JACOB GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4126 SOUTHWEST FREEWAY, SUITE 300, HOUSTON, TX 77027-7316
(713) 572-0030
(713) 572-0040
Mailing address
4126 SOUTHWEST FWY STE 800, HOUSTON, TX 77027-7216
(713) 572-0030
(713) 572-0040
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
J4817
TX
207X00000X
Orthopaedic Surgery Physician
Primary
J4817
TX
207XS0106X
Orthopaedic Hand Surgery Physician
J4817
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
J4817
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
J4817
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
J4817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373904-01
—
TX
01
—
5470210
AETNA
TX
01
—
80620G
BLUE CROSS
TX
Enumeration date
10/02/2006
Last updated
09/16/2021
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