MEDICARE: GEORGE CARRUM MD

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	207R00000X	Internal Medicine Physician	H3861	TX
2	207RH0000X	Hematology (Internal Medicine) Physician	H3861	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851471288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE CARRUM MD

Provider Business Mailing Address
First Line	:	6565 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2703
Country	:	US
Telephone Number	:	713-441-1450
Fax Number	:	713-793-1232

Provider Business Practice Location Address
First Line	:	6551 BERTNER AVE FL WT15
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2807
Country	:	US
Telephone Number	:	713-441-1450
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	10/04/2024

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