Individual
GARY JAY KAISERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2431 W KIEST BLVD, DALLAS, TX 75233-2305
(214) 339-2133
(214) 467-3338
Mailing address
2431 W KIEST BLVD, DALLAS, TX 75233-2305
(214) 339-2133
(214) 467-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187825-01
—
TX
Enumeration date
05/09/2007
Last updated
04/28/2014
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