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Organization
NORTHEAST INTERNAL MEDICINE ASSOCIATES,PA
Active
Organization
NORTHEAST INTERNAL MEDICINE ASSOCIATES,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY BERGMAN (PRESIDENT)
(210) 650-9669
Entity
Organization
Contact information
Practice address
12602 TOEPPERWEIN RD, SUITE 100, LIVE OAK, TX 78233-3269
(210) 650-9669
(210) 650-0750
Mailing address
12602 TOEPPERWEIN RD, SUITE 100, LIVE OAK, TX 78233-3269
(210) 650-9669
(210) 650-0750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G2903
TX
Other
Enumeration date
01/15/2007
Last updated
10/25/2007
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