Mary K. George, M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E5084 Issued in TX

Legal business name

MARY K. GEORGE, M.D., P.A.

Practice address

9179 Grissom Rd
Suite 135
San Antonio, TX 78251-2809

Phone

(210) 684-1020

Fax

(210) 684-2434

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Kusum George, M.D.NPI 1285814459

Title

President

Phone

(210) 684-1020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kusum George, M.D.

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1285814459
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1932263241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 GRISSOM RD",
            "address_2": "SUITE 135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512809",
            "telephone_number": "210-684-1020",
            "fax_number": "210-684-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 GRISSOM RD",
            "address_2": "SUITE 135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512809",
            "telephone_number": "210-684-1020",
            "fax_number": "210-684-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K. GEORGE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KUSUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-684-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Carter Marx, M.D.
• Tatianna Mondaini Marx, FNP-C
• Chelsea Marxer-Krueger, RN
• Mary Beth Harr, MD PA
• Mary Catherine Fischer MD PA
• Mary L. Wagner LLC
• Mary Z Ponce (Alevio Counseling & Evaluations)
• Marzec Eye Care Inc
• Anna Marzec, OD
• Aleli Casino Masajo, MD

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.