Organization
GERIATRIC EVALUATION & MENTAL
Active
Organization
GERIATRIC EVALUATION & MENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GERSTENHABER (MANAGER)
(512) 301-7200
Entity
Organization
Contact information
Practice address
4501 DUDMAR DR, AUSTIN, TX 78735-6913
(832) 448-2800
(832) 448-2801
Mailing address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ2516
RAILROAD MEDICARE
TX
Enumeration date
03/06/2008
Last updated
03/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up