MEDICARE: DR. GEORGE F. BARRATT DDS

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	1223G0001X	General Practice Dentistry	14017	TX

General Provider Information

NPI Number	:	1457421430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE F. BARRATT DDS

Provider Business Mailing Address
First Line	:	8000 RESEARCH FOREST DR
Second Line	:	SUITE 350
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1504
Country	:	US
Telephone Number	:	281-363-4345
Fax Number	:	281-292-0108

Provider Business Practice Location Address
First Line	:	8000 RESEARCH FOREST DR
Second Line	:	SUITE 350
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1504
Country	:	US
Telephone Number	:	281-363-4345
Fax Number	:	281-292-0108

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

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/08/2007

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