Provider Demographics
NPI:1639360829
Name:KNECHT, JOHN GEORGE III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GEORGE
Last Name:KNECHT
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:PO BOX 58778
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8778
Mailing Address - Country:US
Mailing Address - Phone:281-724-8335
Mailing Address - Fax:281-724-1861
Practice Address - Street 1:600 N KOBAYASHI STE 310
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:281-724-8335
Practice Address - Fax:281-724-1861
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10028947207R00000X
TXN8676207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4651532912OtherMYUTMB 4651532912
TXN8676OtherTEXAS MEDICAL BOARD
4651532912OtherMYUTMB 4651532912