| Doctor Name: | GEORGE TODOROV BACKARDJIEV |
| NPI Number: | 1295948594 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036-115001 |
| Business Practice Address: | 3141 Saba Ln Port Neches, TX - 776515421 |
| Business Phone Number: | 4097229995 |
| Business Fax Number: | 4095396095 |
| Mailing Address: | 3141 Saba Ln, PORT NECHES |
| State: | TX |
| Postal Code: | 776515421 |
| Phone Number: | 4097229995 |
| Fax Number: | 4095396095 |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 12/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 036-115001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |