MEDICARE: GEORGE EID ELHAJ M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	F0990	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	:	1194811810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE EID ELHAJ M.D.

Provider Business Mailing Address
First Line	:	810 PEAKWOOD DR
Second Line	:	SUITE 202
City	:	HOUSTON
State	:	TX
Zip	:	77090-2921
Country	:	US
Telephone Number	:	281-440-7878
Fax Number	:	281-440-9316

Provider Business Practice Location Address
First Line	:	810 PEAKWOOD DR
Second Line	:	SUITE 202
City	:	HOUSTON
State	:	TX
Zip	:	77090-2921
Country	:	US
Telephone Number	:	281-440-7878
Fax Number	:	281-440-9316

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/02/2008

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