Provider Demographics
NPI:1922487339
Name:BRANNON GEORGE, M.D., PLLC
Entity Type:Organization
Organization Name:BRANNON GEORGE, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANNON
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-620-7770
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty