Gerald Fanarof, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

F0181 Issued in TX

Legal business name

GERALD FANAROF, M.D., P.A.

Practice address

12121 Richmond Ave
Suite 111
Houston, TX 77082-2432

Phone

(281) 589-1960

Fax

(281) 589-1961

NPI assigned

Dec 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gerald Fanarof, M.D.

Title

President

Phone

(281) 589-1960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1831428184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "SUITE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822432",
            "telephone_number": "281-589-1960",
            "fax_number": "281-589-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "SUITE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822432",
            "telephone_number": "281-589-1960",
            "fax_number": "281-589-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD FANAROF, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "FANAROF",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-589-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F0181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033846901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gertrude Elizabeth Georgio
• Katherine C Georgulas, MA LPC
• Kimberly N Gephart, OT
• Alexis Catherine Geppner, PA
• Marcela Gerace
• Gerald Ratinov, MD
• Geraldine Raphael
• Geraldine Raphael
• Geranium Medical Clinic, Inc.
• Amanda Gerard, MS

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.