Provider Demographics
NPI:1689675886
Name:GEORGE, EUGENIA C (MD)
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:C
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EUGENIE
Other - Middle Name:
Other - Last Name:HALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3350 FAIRVIEW ST
Mailing Address - Street 2:MEDICAL SCREENING SERVICES
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1904
Mailing Address - Country:US
Mailing Address - Phone:713-944-9830
Mailing Address - Fax:713-944-6116
Practice Address - Street 1:3350 FAIRVIEW ST
Practice Address - Street 2:MEDICAL SCREENING SERVICES
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1904
Practice Address - Country:US
Practice Address - Phone:713-944-9830
Practice Address - Fax:713-944-6116
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4929207R00000X, 2083X0100X
IL036053569207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine