Healthcare Provider Details

I. General information

NPI: 1174522874
Provider Name (Legal Business Name): THOMAS D GEPPERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8144 WALNUT HILL LN STE 800
DALLAS TX
75231-4345
US

IV. Provider business mailing address

8144 WALNUT HILL LN STE 800
DALLAS TX
75231-4345
US

V. Phone/Fax

Practice location:
  • Phone: 214-540-0700
  • Fax: 214-540-0701
Mailing address:
  • Phone: 214-540-0700
  • Fax: 214-540-0701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG6298
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberG6298
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: