Provider Demographics
NPI:1467805887
Name:GEORGE P. SHROPULOS, M.D.
Entity Type:Organization
Organization Name:GEORGE P. SHROPULOS, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHROPULOS
Authorized Official - Suffix:
Authorized Official - Credentials:C3202
Authorized Official - Phone:214-824-8769
Mailing Address - Street 1:4634 ROCKAWAY DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2564
Mailing Address - Country:US
Mailing Address - Phone:214-824-8769
Mailing Address - Fax:214-824-8820
Practice Address - Street 1:4634 ROCKAWAY DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2564
Practice Address - Country:US
Practice Address - Phone:214-534-3942
Practice Address - Fax:214-824-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC3202282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital