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NPI Code Detail

MEDICARE: DR. GEORGE WILLIAM ENGLISH III M.D.

MEDICARE: DR. GEORGE WILLIAM ENGLISH III 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
1174400000XSpecialistJ5315TX
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianJ5315TX

General Provider Information

NPI Number : 1316947195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE WILLIAM ENGLISH III M.D.
Provider Business Mailing Address
First Line : 1002 TEXAS BLVD STE 500
Second Line :
City : TEXARKANA
State : TX
Zip : 75501-5117
Country : US
Telephone Number : 903-798-7174
Fax Number : 903-793-2332
Provider Business Practice Location Address
First Line : 1000 PINE ST
Second Line :
City : TEXARKANA
State : TX
Zip : 75501-5100
Country : US
Telephone Number : 903-798-7124
Fax Number : 903-793-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 10/03/2024

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