Provider Demographics
NPI:1609548742
Name:RIZK, GEORGE TONY (OD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:TONY
Last Name:RIZK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16210 CANOVA HILL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-1394
Mailing Address - Country:US
Mailing Address - Phone:318-737-9591
Mailing Address - Fax:
Practice Address - Street 1:901 E HOUSTON ST STE B
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4602
Practice Address - Country:US
Practice Address - Phone:281-659-2020
Practice Address - Fax:281-659-2030
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10241T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist