Healthcare Provider Details

I. General information

NPI: 1922074798
Provider Name (Legal Business Name): ANWAR SOLIMAN GERGES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19234 STONEHUE
SAN ANTONIO TX
78258-3477
US

IV. Provider business mailing address

11989 PELLICANO DR STE D
EL PASO TX
79936-6288
US

V. Phone/Fax

Practice location:
  • Phone: 210-481-9544
  • Fax: 210-481-9545
Mailing address:
  • Phone: 915-855-6508
  • Fax: 915-855-6509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberJ5769
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: