Provider Demographics
NPI:1164770327
Name:GEORGE G.HUGHES,MD,PA
Entity Type:Organization
Organization Name:GEORGE G.HUGHES,MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DEROSSETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-296-0400
Mailing Address - Street 1:1001 MEDICAL PLAZA DR STE 220
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3257
Mailing Address - Country:US
Mailing Address - Phone:281-296-0400
Mailing Address - Fax:281-363-0475
Practice Address - Street 1:1001 MEDICAL PLAZA DR STE 220
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3257
Practice Address - Country:US
Practice Address - Phone:281-296-0400
Practice Address - Fax:281-363-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-20
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0995207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00P692Medicare UPIN