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Organization
GERICARE INC.
Active
Organization
GERICARE INC.
Active
Other names
Gericare Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KUMUD K CHAWLA FNP (PRESIDENT)
(817) 704-9882
Entity
Organization
Contact information
Practice address
2317 STARLIGHT CT, ARLINGTON, TX 76016-6425
(817) 704-9882
(817) 704-3269
Mailing address
2317 STARLIGHT CT, ARLINGTON, TX 76016-6425
(817) 704-9882
(817) 277-5842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X981
MEDICARE PTAN
TX
05
—
149175503
—
TX
01
—
P00413519
MEDICARE RAILROAD
TX
Enumeration date
04/13/2007
Last updated
02/19/2013
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