Provider Demographics
NPI:1134941511
Name:ONOFRE, GEORGE GABRIEL (MHPS, RSPS)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:GABRIEL
Last Name:ONOFRE
Suffix:
Gender:M
Credentials:MHPS, RSPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5141 CANDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3135
Mailing Address - Country:US
Mailing Address - Phone:281-615-2702
Mailing Address - Fax:
Practice Address - Street 1:5141 CANDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3135
Practice Address - Country:US
Practice Address - Phone:281-615-2702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51148-0924175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist