Provider Demographics
NPI:1336408954
Name:BIZET SORIA, JORGE (MD)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:BIZET SORIA
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 1:8190 BARKER CYPRESS RD 1500
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2277
Mailing Address - Country:US
Mailing Address - Phone:281-500-8600
Mailing Address - Fax:281-500-8699
Practice Address - Street 1:8190 BARKER CYPRESS RD
Practice Address - Street 2:SUITE 1500
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1223
Practice Address - Country:US
Practice Address - Phone:281-500-8600
Practice Address - Fax:281-500-8699
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3335207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine