MEDICARE: DR. MATHEWS LAL GEORGE MD

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	N3664	TX
2	207RX0202X	Medical Oncology Physician	65842	MN
3	208M00000X	Hospitalist Physician	N3664	TX
4	207RX0202X	Medical Oncology Physician	N3664	TX

General Provider Information

NPI Number	:	1902957244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATHEWS LAL GEORGE MD

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	936-305-5331

Provider Business Practice Location Address
First Line	:	3270 JOE BATTLE BLVD STE 312
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-2651
Country	:	US
Telephone Number	:	915-849-2700
Fax Number	:	915-849-4256

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	12/15/2023

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