Provider Demographics
NPI:1730118902
Name:LETSOU, GEORGE VASILIOS (MD)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:VASILIOS
Last Name:LETSOU
Suffix:
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 1:2429 BISSONNET ST, PMB 505
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005
Mailing Address - Country:US
Mailing Address - Phone:713-244-6359
Mailing Address - Fax:832-399-0398
Practice Address - Street 1:5010 CRENSHAW RD SUITE 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505
Practice Address - Country:US
Practice Address - Phone:713-798-3020
Practice Address - Fax:713-798-3122
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8298208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133147207Medicaid
TX89Y937OtherBCBS
TX133147207Medicaid
TXF27905Medicare UPIN
TX89Y937Medicare PIN