MEDICARE: GERLANDS REALTY INC

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	333600000X	Pharmacy	11026	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4568436	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699843490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERLANDS REALTY INC

Provider Business Mailing Address
First Line	:	10902 SCARSDALE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10902 SCARSDALE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6023
Country	:	US
Telephone Number	:	281-481-6040
Fax Number	:	281-481-1321

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN DORRIS
Credential	:
Telephone Number	:	281-481-6040

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	03/07/2023

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Directions to “GERLANDS REALTY INC ” Practice Location

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