Gerdes, Paul Douglas
Gerdes, Paul Douglas is an individual health care provider with primary practice located at 3801 Scott And White Dr , Killeen TX 76543-5252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gerdes, Paul Douglas can be contacted via phone (254) 680-1100.Contact Information
Primary practice address
3801 Scott And White Dr
Killeen TX 76543-5252
Phone: (254) 680-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G5086 | Texas |
Profile Details
| NPI number | 1972562395 |
|---|---|
| LBN Legal business name | Gerdes, Paul Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 26th, 2020 - about 4 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972562395 | NPPES |
| Texas | Other | 807618 | BLUE SHIELD |
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