Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kenneth Gerald Jr.

Individual provider Family Nurse Practitioner · NPI 1487204392

Mr. Kenneth Gerald Jr. is a Nurse Practitioner in Desoto, Texas. Qualified in 2018, 8 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

731 W Belt Line Rd # 101
Desoto, TX 75115-4955
Phone: (972) 525-9900
Fax: (469) 333-7988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2021 N Town East Blvd Ste 500, Mesquite, TX 75150-4060 — (305) 470-2929

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP141564 (TX)

Record details

NPI number1487204392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Desoto