Provider Demographics
NPI:1316121205
Name:ZIAKAS, GEORGIOS (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGIOS
Middle Name:
Last Name:ZIAKAS
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 1:23960 KATY FWY
Mailing Address - Street 2:STE 130
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0892
Mailing Address - Country:US
Mailing Address - Phone:281-347-0096
Mailing Address - Fax:281-347-0102
Practice Address - Street 1:23960 KATY FWY
Practice Address - Street 2:STE 130
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0892
Practice Address - Country:US
Practice Address - Phone:281-347-0096
Practice Address - Fax:281-347-0102
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM77892086S0122X, 208200000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB129405Medicare PIN