Individual
DR. GARY GERLACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2505
(972) 758-3598
Mailing address
4100 RIDGE PARK WAY, PLANO, TX 75024-3792
(214) 629-5300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K0305
TX
208000000X
Pediatrics Physician
Primary
K0305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128893801
—
TX
01
—
88521K
BCBS
TX
01
—
8K9070
BCBS
TX
01
—
930069825
MEDICARE RAILROAD
TX
Enumeration date
12/15/2005
Last updated
02/11/2014
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