NPI 1063365682

Gerald Tix

Practitioner Driver Saint Paul, MN

Practice location

Address: 799 Reaney Ave, Saint Paul, MN 55106-4412
Phone: (651) 232-1700

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence A411-055-237-206 (MN)

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Registry record

NPI: 1063365682
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2026
Record last updated: 16 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.