Healthcare Provider Details

I. General information

NPI: 1467765818
Provider Name (Legal Business Name): GEORGE K. KATEI M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 39TH ST
GROVES TX
77619-2911
US

IV. Provider business mailing address

5301 39TH ST
GROVES TX
77619-2911
US

V. Phone/Fax

Practice location:
  • Phone: 409-962-4272
  • Fax: 409-962-2451
Mailing address:
  • Phone: 409-962-4272
  • Fax: 409-962-2451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK1496
License Number StateTX

VIII. Authorized Official

Name: DR. GEORGE K KATEI
Title or Position: OWNER
Credential: M.D.
Phone: 409-962-4272