Provider Demographics
NPI:1225827223
Name:GERIS DIABETES CARE & EDUCATION LLC
Entity type:Organization
Organization Name:GERIS DIABETES CARE & EDUCATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND DIRECTOR OF SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:HANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, MBA, CDCES
Authorized Official - Phone:646-262-8428
Mailing Address - Street 1:2401 FOUNTAIN VIEW DR STE 464
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4819
Mailing Address - Country:US
Mailing Address - Phone:713-581-6471
Mailing Address - Fax:
Practice Address - Street 1:3010 YELLOWSTONE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2214
Practice Address - Country:US
Practice Address - Phone:713-581-6471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service