Provider Demographics
NPI:1528210960
Name:GEAR, ERIN ANNE (PA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ANNE
Last Name:GEAR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N I-35 STE 200
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5144
Mailing Address - Country:US
Mailing Address - Phone:940-323-3400
Mailing Address - Fax:940-323-3410
Practice Address - Street 1:2900 N I-35 STE 200
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5144
Practice Address - Country:US
Practice Address - Phone:940-323-3400
Practice Address - Fax:940-323-3410
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA07525363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX258784YKQLMedicare PIN
TX258784YKPWMedicare PIN
TX258784YKP5Medicare PIN