Provider Demographics
NPI:1003824509
Name:STOKES, GEORGE NICHOLAS (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:NICHOLAS
Last Name:STOKES
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 1:200 E BOOTHE ST
Mailing Address - Street 2:STE 100
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4063
Mailing Address - Country:US
Mailing Address - Phone:281-592-2888
Mailing Address - Fax:281-592-2835
Practice Address - Street 1:200 E BOOTHE
Practice Address - Street 2:STE 100
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327
Practice Address - Country:US
Practice Address - Phone:281-592-2888
Practice Address - Fax:281-592-2835
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4569207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
80070FMedicare PIN