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NPI Code Detail

MEDICARE: DR. GEORGE ANAGNOSTIS M.D.

MEDICARE: DR. GEORGE ANAGNOSTIS 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
1207Q00000XFamily Medicine PhysicianE6212TX

General Provider Information

NPI Number : 1578523122
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE ANAGNOSTIS M.D.
Provider Business Mailing Address
First Line : 1605 GEORGE DIETER DR STE 636
Second Line :
City : EL PASO
State : TX
Zip : 79936-5600
Country : US
Telephone Number : 915-671-1371
Fax Number : 915-219-9022
Provider Business Practice Location Address
First Line : 1300 S FIELDER RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76013-2348
Country : US
Telephone Number : 817-277-2221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 03/18/2024

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