Provider Demographics
NPI:1437358637
Name:GEORGES, REBEKAH LEIGH (MD)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:LEIGH
Last Name:GEORGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 JOHN SAUNDERS ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216
Mailing Address - Country:US
Mailing Address - Phone:210-293-3500
Mailing Address - Fax:210-479-2010
Practice Address - Street 1:9800 JOHN SAUNDERS ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4204
Practice Address - Country:US
Practice Address - Phone:210-293-3500
Practice Address - Fax:210-479-2010
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1644207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3016040-01Medicaid
TX3016040-01Medicaid