Gerald Nystrom
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Gerald Nystrom, M.D. is a Dallas, Texas based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Gerald Nystrom is
7777 Forest Ln, Dallas, Texas - 75230-2571. He can be contacted on phone at
214-343-6663 and fax number 214-343-2814.
Gerald Nystrom is a sole proprietor of his business.
NPI number (Unique professional ID) for Gerald Nystrom is
1437111614 which was assigned by NPPES on 04 Apr, 2006 and it was last updated on 03 Jan, 2022.
Gerald Nystrom license number is
K6194 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Texas.
Gerald Nystrom 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.
Complete Profile:
Gerald Nystrom basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Gerald Nystrom |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Gerald Nystrom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7777 Forest Ln
Dallas, TX, 75230-2571
United States |
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| Phone Number : | 214-343-6663 |
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| Fax Number : | 214-343-2814 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1437111614 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Apr, 2006 |
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| Last Updated On : | 03 Jan, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gerald Nystrom are as mentioned. Primary taxonomy code for Gerald Nystrom, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | K6194 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Gerald Nystrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| K6194 | Other | TX | LICENSE |
| 040275201 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3001 E President George Bush Hwy Ste 225
Richardson, TX, 75082-3569
United States |
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| Phone Number : | 214-343-6663 |
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| Fax Number : | 214-343-2814 |
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Business Location:
Patients can refer following map for directions to
Gerald Nystrom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.