Provider Demographics
NPI:1265531990
Name:SANTOS, GEORGE D (MD, PA)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:D
Last Name:SANTOS
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4825 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4432
Mailing Address - Country:US
Mailing Address - Phone:713-668-0886
Mailing Address - Fax:713-668-8611
Practice Address - Street 1:5151 SAN FELIPE ST
Practice Address - Street 2:1470
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3607
Practice Address - Country:US
Practice Address - Phone:713-622-4499
Practice Address - Fax:713-622-3466
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH27532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE41384Medicare UPIN
TX00J27ZMedicare ID - Type Unspecified