Waterfallen, George Thomas

Waterfallen, George Thomas is an sole proprietor health care provider with primary practice located at 323 West Walnut , Bastrop LA 71220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Waterfallen, George Thomas can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
323 West Walnut Bastrop LA 71220
Phone: (800) 893-9698
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD.014605 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 014605 Louisiana

Profile Details

NPI number 1831123132
LBN Legal business name Waterfallen, George Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jan 14th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831123132 NPPES
Louisiana MEDICAID 1345598

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