Doctor Name: | GEORGE PERRY ASHBY |
NPI Number: | 1063421279 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | H4864 |
Business Practice Address: | 410 E Fairmont Pkwy Suite A La Porte, TX - 775716498 |
Business Phone Number: | 2818421200 |
Business Fax Number: | 2818421203 |
Mailing Address: | Po Box 1518, LA PORTE |
State: | TX |
Postal Code: | 775721518 |
Phone Number: | 2818421200 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | H4864 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |