Provider Demographics
NPI:1558556001
Name:GEORGE, JOGGY K (MD)
Entity Type:Individual
Prefix:DR
First Name:JOGGY
Middle Name:K
Last Name:GEORGE
Suffix:
Gender:M
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:PO BOX 270362
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-0362
Mailing Address - Country:US
Mailing Address - Phone:832-736-7554
Mailing Address - Fax:888-466-7968
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 1720
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:832-736-7554
Practice Address - Fax:713-797-0228
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0781207R00000X, 207RC0000X, 207RI0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN0781OtherTEXAS MEDICAL LICENSE