Doctor Name: | GEORGE S FIDONE |
NPI Number: | 1114039138 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | H4321 |
Business Practice Address: | 205 Gene Samford Dr Lufkin, TX - 75904 |
Business Phone Number: | 9366342214 |
Business Fax Number: | 9366399660 |
Mailing Address: | 205 Gene Samford Dr, LUFKIN |
State: | TX |
Postal Code: | 75904 |
Phone Number: | 9366342214 |
Fax Number: | 9366399660 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | H4321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |