Provider Demographics
NPI:1083764419
Name:ZERINGUE, GERALD N (DPM)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:N
Last Name:ZERINGUE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656 BEE CAVES RD
Mailing Address - Street 2:STE D204
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5236
Mailing Address - Country:US
Mailing Address - Phone:512-447-2025
Mailing Address - Fax:512-447-4968
Practice Address - Street 1:4207 JAMES CASEY ST
Practice Address - Street 2:STE. 315
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3300
Practice Address - Country:US
Practice Address - Phone:512-447-2025
Practice Address - Fax:512-447-4968
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0823213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00DG46OtherBCBS
TX127196704Medicaid
TX85E258Medicare ID - Type Unspecified