Sam T George, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J5496 Issued in TX

Legal business name

SAM T GEORGE, PA

Practice address

1211 E 6TH St
Ste 300
Bonham, TX 75418-4095

Phone

(903) 640-1422

Fax

(903) 640-4275

NPI assigned

Jun 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sam G Thoyakulathu, M.D.NPI 1952491771

Title

Chairman

Phone

(903) 640-1422

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sam G Thoyakulathu, MD

  • Internal Medicine Physician
  • Bonham, TX
  • NPI 1952491771
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275730707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E 6TH ST",
            "address_2": "STE 300",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184095",
            "telephone_number": "903-640-1422",
            "fax_number": "903-640-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E 6TH ST",
            "address_2": "STE 300",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184095",
            "telephone_number": "903-640-1422",
            "fax_number": "903-640-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM T GEORGE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOYAKULATHU",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "903-640-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bonham, TX
• Providers in Bonham, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.