Provider Demographics
NPI:1972705242
Name:GEORGE K KATEI, M.D., P.A.
Entity Type:Organization
Organization Name:GEORGE K KATEI, M.D., P.A.
Other - Org Name:TRI-COUNTY MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KATEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-962-4272
Mailing Address - Street 1:5301 39TH ST
Mailing Address - Street 2:
Mailing Address - City:GROVES
Mailing Address - State:TX
Mailing Address - Zip Code:77619-2911
Mailing Address - Country:US
Mailing Address - Phone:409-962-4272
Mailing Address - Fax:409-962-2451
Practice Address - Street 1:5301 39TH ST
Practice Address - Street 2:
Practice Address - City:GROVES
Practice Address - State:TX
Practice Address - Zip Code:77619-2911
Practice Address - Country:US
Practice Address - Phone:409-962-4272
Practice Address - Fax:409-962-2451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1496261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF89415Medicare UPIN
TX00662QMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMDER