Provider Demographics
NPI:1013244128
Name:GEORGE, EMANUEL JOSEPH III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMANUEL
Middle Name:JOSEPH
Last Name:GEORGE
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 CULLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-3317
Mailing Address - Country:US
Mailing Address - Phone:713-733-2406
Mailing Address - Fax:713-733-1692
Practice Address - Street 1:9200 CULLEN BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-3317
Practice Address - Country:US
Practice Address - Phone:713-733-2406
Practice Address - Fax:713-733-1692
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44008183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist