NPI 1295948594 · live from the CMS NPI Registry
George Todorov Backardjiev, MD
Obstetrics & Gynecology in Port Neches, TX. National Provider Identifier 1295948594, active.
NPI record
| NPI | 1295948594 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology 207V00000X |
| Practice location | 3141 Saba Ln, Port Neches, TX 77651 |
| Practice phone | 409-722-9995 |
| Enumerated | May 7, 2007 |
| Last updated | December 3, 2012 |
| Sole proprietor | Yes |
| Other names | Georgi Bakardjiev |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology | 207VG0400X | 036-115001 (IL) |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | 036-115001 (IL) |
| Obstetrics & Gynecology | 207V00000X | 036-115001 (IL) |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | N4270 (TX) |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | N4270 (TX) |
| Obstetrics & Gynecology primary | 207V00000X | N4270 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.