Organization
GEORGE M. PLOTKIN, PHD, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MICHAEL PLOTKIN PHD, MD (PHYSICIAN)
(903) 535-6092
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIR, SUITE 904, TYLER, TX 75701-1951
(903) 535-6092
(903) 535-6097
Mailing address
700 OLYMPIC PLAZA CIR, 904, TYLER, TX 75701-1951
(903) 535-6092
(903) 535-6097
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080KK
BLUE CROSS
TX
01
—
DA3083
RAILROAD MEDICARE
TX
Enumeration date
12/07/2007
Last updated
12/07/2007
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