Provider Demographics
NPI:1265620256
Name:CAMORIANO NOLASCO, GERARDO DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:DAVID
Last Name:CAMORIANO NOLASCO
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:UNIVERSITY OF TEXAS MEDICAL BRANCH-OPHTHALMOLOGY
Mailing Address - Street 2:301 UNIVERSITY BLVD
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-1106
Mailing Address - Country:US
Mailing Address - Phone:409-747-5801
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF TEXAS MEDICAL BRANCH-OPHTHALMOLOGY
Practice Address - Street 2:301 UNIVERSITY BLVD
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-1106
Practice Address - Country:US
Practice Address - Phone:409-747-5801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10029074207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology