Individual
CHARLES A GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(972) 715-5000
(972) 715-9976
Mailing address
4206 SIENA DR, FRISCO, TX 75033-7108
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
835522
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP9280701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
367500000X
TAXONOMY CODE
TX
01
—
8450UE
BCBS
TX
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
06/05/2012
Last updated
08/08/2018
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