Provider Demographics
NPI:1720209885
Name:GEORGE, JOJY MATTACKAL (MD)
Entity Type:Individual
Prefix:MR
First Name:JOJY
Middle Name:MATTACKAL
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6814 AUBURN SANDS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-2056
Mailing Address - Country:US
Mailing Address - Phone:901-830-7537
Mailing Address - Fax:281-605-5236
Practice Address - Street 1:10777 WESTHEIMER RD STE 1100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3462
Practice Address - Country:US
Practice Address - Phone:877-878-3289
Practice Address - Fax:877-817-3287
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010028267208600000X
TXN2524208D00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice