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NPI Code Detail

MEDICARE: JUSTIN GEORGE PA

MEDICARE: JUSTIN GEORGE PA
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
1363A00000XPhysician AssistantPA19528TX

General Provider Information

NPI Number : 1861379240
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN GEORGE PA
Provider Business Mailing Address
First Line : PO BOX 660599
Second Line :
City : DALLAS
State : TX
Zip : 75266-0599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-590-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2025
Last Update Date : 02/10/2026

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Directions to “ JUSTIN GEORGE PA” Practice Location

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