Provider Demographics
NPI:1073932216
Name:GERLICH, RYAN
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:GERLICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6817 HAZEN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-6116
Mailing Address - Country:US
Mailing Address - Phone:713-681-0605
Mailing Address - Fax:713-623-2822
Practice Address - Street 1:6817 HAZEN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-6116
Practice Address - Country:US
Practice Address - Phone:713-681-0605
Practice Address - Fax:713-623-2822
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide