Provider Demographics
NPI:1104882059
Name:HELFRICH, GEORGE BAIRD (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:BAIRD
Last Name:HELFRICH
Suffix:
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 1:3606 21ST ST
Mailing Address - Street 2:STE 104
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410
Mailing Address - Country:US
Mailing Address - Phone:806-792-0595
Mailing Address - Fax:806-792-9255
Practice Address - Street 1:3606 21ST ST
Practice Address - Street 2:STE 104
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-792-0595
Practice Address - Fax:806-792-9255
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4072208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX014273OtherTEXAS KIDNEY HEALTH
TX123282905Medicaid
TX8F9200OtherBLUE CROSS
NM752419618001OtherCIMARRON
NMPROVP13524OtherMOLINA
NM30972OtherLOVELACE
NM201004229OtherPRESBYTERIAN
NMF7472Medicaid
TX114893100OtherFIRSTCARE
TX020016049OtherRAILROAD MEDICARE
NM30972OtherLOVELACE
NM752419618001OtherCIMARRON