Provider Demographics
NPI:1184618001
Name:ZENNER, GEORGE O III (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:O
Last Name:ZENNER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5757 WOODWAY DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1514
Mailing Address - Country:US
Mailing Address - Phone:713-977-0971
Mailing Address - Fax:713-977-0992
Practice Address - Street 1:5757 WOODWAY DR
Practice Address - Street 2:STE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1514
Practice Address - Country:US
Practice Address - Phone:713-977-0971
Practice Address - Fax:713-977-0992
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2008-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2977207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00856HMedicare PIN
TXD69320Medicare UPIN