Healthcare Provider Details

I. General information

NPI: 1902957244
Provider Name (Legal Business Name): MATHEWS LAL GEORGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3270 JOE BATTLE BLVD STE 312
EL PASO TX
79938-2651
US

IV. Provider business mailing address

PO BOX 911230
DALLAS TX
75391-1230
US

V. Phone/Fax

Practice location:
  • Phone: 915-849-2700
  • Fax: 915-849-4256
Mailing address:
  • Phone: 972-997-8000
  • Fax: 936-305-5331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberN3664
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number65842
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberN3664
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberN3664
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: