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Individual

JORGE GERMAN DARCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16659 SOUTHWEST FWY, SUITE 151, SUGAR LAND, TX 77479-2375
(281) 276-5200
(281) 276-5201
Mailing address
16659 SOUTHWEST FWY, SUITE 151, SUGAR LAND, TX 77479-2375
(281) 276-5200
(281) 276-5201

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M4751
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811133697
BLUE CROSS BLUE SHIELD
TX
05
204293903
TX
05
204293904
TX
01
8L14250
MEDICARE PTAN
TX
01
P01120352
RR MEDICARE
TX
Enumeration date
12/27/2008
Last updated
06/09/2014
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