Healthcare Provider Details

I. General information

NPI: 1659639748
Provider Name (Legal Business Name): BESSY EAPEN GEORGE D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BESSY RACHEL EAPEN DO

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 W 15TH ST
PLANO TX
75075-7738
US

IV. Provider business mailing address

700 NE 13TH ST OKLAHOMA UNIVERSITY MEDICAL CENTER
OKLAHOMA CITY OK
73104-5004
US

V. Phone/Fax

Practice location:
  • Phone: 972-596-6800
  • Fax:
Mailing address:
  • Phone: 405-397-1480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number05-42417
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number5740
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberS1811
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberS1811
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: