Gerald Nystrom in Richardson - Neonatal-perinatal Medicine
Gerald Nystrom - NPI 1437111614
Gerald Nystrom is a Neonatal-perinatal Medicine in Richardson, Texas. Gerald Nystrom practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Gerald Nystrom is 1437111614. The last update date is 2022-01-03.
Gerald Nystrom's current location address is 3001 E President George Bush Hwy Ste 225, Richardson, Texas. You can contact this provider via phone number 2143436663 and fax number 2143432814. The mailing address for Gerald Nystrom is 3001 E President George Bush Hwy Ste 225, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Nystrom |
|---|---|
| Address | 3001 E President George Bush Hwy Ste 225, Richardson, Texas |
| Phone Number | 2143436663 |
| Fax Number | 2143432814 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437111614 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 3001 E President George Bush Hwy Ste 225 |
|---|---|
| City | Richardson |
| State | Texas (TX) |
| Post Code | 750823569 |
| Phone Number | 2143436663 |
| Fax Number | 2143432814 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal-perinatal Medicine |
|---|---|
| Taxonomy | 2080N0001X |
| Licence No | K6194 |
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Definition: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K6194 | TX | LICENSE | |
| 40275201 | TX | -- |
Post Comment/ Review Below
What is the Gerald Nystrom's 1437111614?
The Gerald Nystrom's NPI (National Provider Identifier) Number is 1437111614. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gerald Nystrom's physical address?
The Gerald Nystrom is physically located at 3001 E President George Bush Hwy Ste 225, in the city of Richardson, TX, with the postal code 750823569.
What is the Gerald Nystrom's specialty and taxonomy code?
The Gerald Nystrom's specialty is Neonatal-perinatal Medicine, and the corresponding taxonomy code is 2080N0001X.
On what date did Gerald Nystrom receive its 1437111614 assignment from the Centers for Medicare & Medicaid Services?
The Gerald Nystrom was assigned its 1437111614 on 2006-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gerald Nystrom's details last updated?
The information pertaining to the Gerald Nystrom, including its address, specialty, and other details, was most recently updated on 2022-01-03.