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Individual

CAMILLE JACOB GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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