Individual
TERRY KEITH GEMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 BEACHVIEW ST, SUITE 100, DALLAS, TX 75218-3700
(469) 341-5676
(469) 341-5677
Mailing address
1130 BEACHVIEW ST, SUITE 100, DALLAS, TX 75218-3700
(469) 341-5676
(469) 341-5677
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L2276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00035Z
MEDICARE GROUP
—
05
—
151314502
—
TN
01
—
5475440001
PALMETTO
TX
01
—
610541200
DEPARTMENT OD LABOR
TX
01
—
7081295
AETNA
TX
01
—
8CM465
BCBS
TX
01
—
MDL2276
WORK COMP
TX
Enumeration date
04/10/2006
Last updated
04/14/2011
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