Provider Demographics
NPI:1487665097
Name:SCHROTH, GEORGE
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:SCHROTH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1901
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-1100
Mailing Address - Fax:713-790-2643
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1901
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-1100
Practice Address - Fax:713-790-2643
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3604207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01309351OtherRR MEDICARE
TX136126312Medicaid
TX1487665097OtherBLUE CROSS BLUE SHIELD
TX136126311Medicaid
TX136126309Medicaid
TX136126316Medicaid
TXP01037133OtherRR MEDICARE
TX136126310Medicaid
TX136126313Medicaid
TX136126315Medicaid
LA1822591Medicaid
TXP00849862OtherMEDICARE RAILROAD
TX8CB396OtherBCBS
TX436242ZSWDMedicare PIN
TX339184YUD8Medicare PIN
TX8L15272Medicare PIN
TXP01037133OtherRR MEDICARE
TX136126313Medicaid
TXTXB145700Medicare PIN
B88126Medicare UPIN
TX136126310Medicaid