Provider Demographics
NPI:1851376594
Name:FROMM, GERI-LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:GERI-LYNN
Middle Name:
Last Name:FROMM
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:
Practice Address - Street 1:2223 DORRINGTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3209
Practice Address - Country:US
Practice Address - Phone:713-665-0404
Practice Address - Fax:713-665-4007
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5311207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131616803Medicaid
TX131616808Medicaid
TX131616809Medicaid
TXP00868145OtherRAILROAD MEDICARE
TX160047502OtherMEDICARE RAILROAD
TX131616807Medicaid
TX131616807Medicaid
TXE04473Medicare UPIN
TX82Z620Medicare ID - Type Unspecified
TXTXB113870Medicare PIN
TX160047502OtherMEDICARE RAILROAD
TXTXB120052Medicare PIN