Individual
DR. GERALD D KIZERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5866 S STAPLES ST, STE 320, CORPUS CHRISTI, TX 78413-3700
(361) 991-4101
(361) 991-4102
Mailing address
5866 S STAPLES ST, STE 320, CORPUS CHRISTI, TX 78413-3785
(361) 991-4101
(361) 991-4102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2968
TX
1041C0700X
Clinical Social Worker
Primary
S00483
TX
106H00000X
Marriage & Family Therapist
002808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S49J
BCBS PROVIDER NUMBER
TX
05
—
095310101
—
TX
Enumeration date
08/29/2006
Last updated
09/27/2021
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