Provider Demographics
NPI:1356042071
Name:FRITSCH, GEORGE (DC)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:FRITSCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16920 PARK ROW
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4920
Mailing Address - Country:US
Mailing Address - Phone:281-936-0369
Mailing Address - Fax:713-518-1113
Practice Address - Street 1:16920 PARK ROW
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-4920
Practice Address - Country:US
Practice Address - Phone:281-936-0369
Practice Address - Fax:713-518-1113
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX155352085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology