Provider Demographics
NPI:1528301314
Name:GERA, AAKANKSHA (MD)
Entity type:Individual
Prefix:
First Name:AAKANKSHA
Middle Name:
Last Name:GERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11807 SOUTH FWY STE 365
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-7045
Mailing Address - Country:US
Mailing Address - Phone:817-551-5539
Mailing Address - Fax:817-551-5662
Practice Address - Street 1:11807 SOUTH FWY STE 365
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7045
Practice Address - Country:US
Practice Address - Phone:817-551-5539
Practice Address - Fax:817-568-6805
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9160208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX834921OtherMEDICARE
TX363447905Medicaid
TX363447901Medicaid