Provider Demographics
NPI:1033553896
Name:OZOR, GEORGE CHARLES
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:CHARLES
Last Name:OZOR
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:CHARLES
Other - Last Name:OZOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:9550 FOREST LN
Mailing Address - Street 2:508
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5905
Mailing Address - Country:US
Mailing Address - Phone:214-707-8266
Mailing Address - Fax:214-503-0176
Practice Address - Street 1:9550 FOREST LN
Practice Address - Street 2:508
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:214-707-8266
Practice Address - Fax:214-503-0176
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor