Provider Demographics
NPI:1639140783
Name:HUGHES, GEORGE G III (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:G
Last Name:HUGHES
Suffix:III
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 1:2918 E WILDWIND CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4000
Mailing Address - Country:US
Mailing Address - Phone:281-367-4272
Mailing Address - Fax:
Practice Address - Street 1:1001 MEDICAL PLAZA DR
Practice Address - Street 2:#220
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3241
Practice Address - Country:US
Practice Address - Phone:281-296-0400
Practice Address - Fax:281-363-0475
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0995174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00P692Medicare ID - Type Unspecified
TXC17191Medicare UPIN