| Doctor Name: | DR. GEORGE DEAN ZGOURIDES |
| NPI Number: | 1225264369 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., PSY.D. |
| License Number: | 24308 |
| Business Practice Address: | 1907 Highway 97 E Suite 130 Jourdanton, TX - 780261537 |
| Business Phone Number: | 8307695919 |
| Business Fax Number: | 8307695920 |
| Mailing Address: | 1907 Highway 97 E, Suite 130 JOURDANTON |
| State: | TX |
| Postal Code: | 780261537 |
| Phone Number: | 8307695919 |
| Fax Number: | 8307695920 |
| NPI Enumeration Date: | 06/03/2009 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 24308 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |