Provider Demographics
NPI:1922074798
Name:GERGES, ANWAR SOLIMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:SOLIMAN
Last Name:GERGES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19234 STONEHUE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3477
Mailing Address - Country:US
Mailing Address - Phone:210-481-9544
Mailing Address - Fax:210-481-9545
Practice Address - Street 1:19234 STONEHUE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3477
Practice Address - Country:US
Practice Address - Phone:210-481-9544
Practice Address - Fax:210-481-9545
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5769207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117880801Medicaid
TXF42827Medicare UPIN
TX82A590Medicare ID - Type Unspecified