Organization
GERI TEX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA RALSTON FNP (MANAGER)
(214) 632-3514
Entity
Organization
Contact information
Practice address
7708 MORNINGDEW DR, PLANO, TX 75025-3774
(972) 680-1577
(972) 690-9834
Mailing address
PO BOX 835850, RICHARDSON, TX 75083-5850
(972) 680-1577
(972) 690-9834
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201552101
—
TX
Enumeration date
10/10/2007
Last updated
06/24/2010
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