Provider Demographics
NPI:1689093064
Name:GEORGE, JESSY ANNA (MD)
Entity type:Individual
Prefix:DR
First Name:JESSY
Middle Name:ANNA
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2170 TRAWOOD DR.
Mailing Address - Street 2:APT # 707
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3377
Mailing Address - Country:US
Mailing Address - Phone:314-971-4645
Mailing Address - Fax:
Practice Address - Street 1:4800 ALBERTA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2709
Practice Address - Country:US
Practice Address - Phone:915-215-5557
Practice Address - Fax:915-215-5729
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR4702208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics