Provider Demographics
NPI:1457941197
Name:GERIK, RACHEL LAUREN
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LAUREN
Last Name:GERIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 ASHLAWN DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-5696
Mailing Address - Country:US
Mailing Address - Phone:469-865-0566
Mailing Address - Fax:
Practice Address - Street 1:716 N HIGHWAY 67 STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2117
Practice Address - Country:US
Practice Address - Phone:972-291-9165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801237163WP0000X
TX1028555363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0000XNursing Service ProvidersRegistered NursePain Management