Provider Demographics
NPI:1164635850
Name:ERLER, GARY J (DC)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:J
Last Name:ERLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3304 SE LOOP 820
Mailing Address - Street 2:SUITE A
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1113
Mailing Address - Country:US
Mailing Address - Phone:817-984-7545
Mailing Address - Fax:817-533-2654
Practice Address - Street 1:3304 SE LOOP 820
Practice Address - Street 2:SUITE A
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-1113
Practice Address - Country:US
Practice Address - Phone:817-984-7545
Practice Address - Fax:817-533-2654
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
604070Medicare PIN