LIBERTAD FERNANDEZ GEAN PA
NPI 1174866115
Physician Assistant - Medical in Dallas, TX

Q: What is Libertad Gean's NPI number?

The NPI number for Libertad Gean is 1174866115. It was assigned to this individual provider in the NPPES registry on March 28, 2013. The provider is also known as Libertad Fernandez PA.

Q: What is Libertad Gean's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Libertad Gean was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2013PECOS Enrolled

5917 BELT LINE RD, DALLAS, TX 75254(972) 726-6464(972) 726-6444 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Libertad Fernandez Gean Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTAD FERNANDEZ GEAN PA (NPI 1174866115) is an individual medical provider in Dallas, Texas, licensed in Texas (PA05015) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174866115

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLIBERTAD FERNANDEZ GEANCredential: PA

Location Address5917 BELT LINE RDDallas, TX 75254-7703

Mailing Address5917 Belt Line RdDallas, TX 75254-7703 · (972) 726-6262 · Fax (972) 726-6444

Phone(972) 726-6464

Fax(972) 726-6444

Sole ProprietorNo

Enumeration DateMarch 28, 2013

Last NPPES UpdateFebruary 9, 2024

NPPES CertifiedFebruary 9, 2024

✔ NPI 1174866115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA05015

5917 BELT LINE RD, Dallas, TX 75254

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Other Names 1

Former Name (1)Libertad Fernandez Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Libertad Fernandez Gean Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY KWAN PA-C

Physician Assistant