MEDICARE: MRS. NORMA B GEORGE LVN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1407171598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NORMA B GEORGE LVN

Provider Business Mailing Address
First Line	:	6428 SMOKE HOUSE DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-5257
Country	:	US
Telephone Number	:	337-412-1461
Fax Number	:

Provider Business Practice Location Address
First Line	:	16618 CLAY RD
Second Line	:	SUITE 370
City	:	HOUSTON
State	:	TX
Zip	:	77084-4088
Country	:	US
Telephone Number	:	337-412-1461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2010
Last Update Date	:	03/31/2010

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