Individual
JASON P GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 N GALLOWAY AVE, SUITE 103, MESQUITE, TX 75150-6378
(214) 660-2500
Mailing address
2704 N GALLOWAY AVE, SUITE 103, MESQUITE, TX 75150-6378
(214) 660-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N1327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008757-01
—
TX
01
—
8BU165
BLUE CROSS BLUE SHIELD OF TEXAS
—
Enumeration date
09/18/2008
Last updated
10/15/2010
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