| Geriatric Evaluation & Mental | |
|
4501 Dudmar Dr Austin TX 78735-6913 | |
| (832) 448-2800 | |
| (832) 448-2801 |
| Full Name | Geriatric Evaluation & Mental |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4501 Dudmar Dr, Austin, Texas |
| Authorized Official Name and Position | Gary Gerstenhaber (MANAGER) |
| Authorized Official Contact | 5123017200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Evaluation & Mental 12012 Wickchester Ln Suite 550 Houston TX 77079-1229 Ph: (832) 448-2800 | Geriatric Evaluation & Mental 4501 Dudmar Dr Austin TX 78735-6913 Ph: (832) 448-2800 |
| NPI Number | 1225208200 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225208200 | NPI | - | NPPES |
| CJ2516 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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