Doctor Name: | CHRISTOPHER LEE GEORGE |
NPI Number: | 1487046371 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | 688490 |
Business Practice Address: | 514 S Bonham St Mexia, TX - 766673600 |
Business Phone Number: | 2545629321 |
Business Fax Number: | 2545623570 |
Mailing Address: | 514 S Bonham St, MEXIA |
State: | TX |
Postal Code: | 766673600 |
Phone Number: | 2545629321 |
Fax Number: | 2545623570 |
NPI Enumeration Date: | 03/02/2015 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 688490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |