Provider Demographics
NPI:1891093662
Name:GEORGE, BRANNON E (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANNON
Middle Name:E
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:134 VINTAGE PARK BLVD STE A15
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3998
Mailing Address - Country:US
Mailing Address - Phone:281-272-1743
Mailing Address - Fax:281-272-1758
Practice Address - Street 1:134 VINTAGE PARK BLVD STE A15
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3998
Practice Address - Country:US
Practice Address - Phone:281-272-1743
Practice Address - Fax:281-272-1758
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP0214207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine