MEDICARE: PAUL L GEIGER JR. DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	108506	MO
2	207Q00000X	Family Medicine Physician	Q9615	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010062129	OTHER		RAILROAD MEDICARE
2	100005790	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	P00119337	OTHER	RAILROAD MCR WATHEN MEDICAL CENTER

General Provider Information

NPI Number	:	1891754784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL L GEIGER JR. DO

Provider Business Mailing Address
First Line	:	PO BOX 2580
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65801-2580
Country	:	US
Telephone Number	:	417-829-4620
Fax Number	:

Provider Business Practice Location Address
First Line	:	8840 BENBROOK BLVD STE 101
Second Line	:
City	:	BENBROOK
State	:	TX
Zip	:	76126-2173
Country	:	US
Telephone Number	:	817-813-7101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	11/03/2023

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Directions to “ PAUL L GEIGER JR. DO” Practice Location

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