Provider Demographics
NPI:1528074135
Name:WEST, GEORGE ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALEXANDER
Last Name:WEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:G
Other - Middle Name:ALEXANDER
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:18300 KATY FWY
Mailing Address - Street 2:MOB 2, SUITE 135
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1385
Mailing Address - Country:US
Mailing Address - Phone:832-522-8500
Mailing Address - Fax:832-522-8501
Practice Address - Street 1:18300 KATY FWY
Practice Address - Street 2:MOB 2, SUITE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1385
Practice Address - Country:US
Practice Address - Phone:832-522-8500
Practice Address - Fax:832-522-8501
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44906207T00000X
TXK6411207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GD977OtherBCBS
TX340086301Medicaid
TXP01331459OtherRR MEDICARE
TX8EF360OtherBCBS
CO82127786Medicaid
TX8GD977OtherBCBS
TXP01331459OtherRR MEDICARE
C807082Medicare PIN
TX344055YMVQMedicare PIN