Provider Demographics
NPI:1831204577
Name:HANCOCK, GEORGE GRAY II (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:GRAY
Last Name:HANCOCK
Suffix:II
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 1:5773 WOODWAY DR
Mailing Address - Street 2:PMB 151
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1501
Mailing Address - Country:US
Mailing Address - Phone:713-621-8210
Mailing Address - Fax:
Practice Address - Street 1:5773 WOODWAY DR
Practice Address - Street 2:PMB 151
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1501
Practice Address - Country:US
Practice Address - Phone:713-621-8210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD50292083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD5029OtherMEDICAL LICENSE