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Individual
THERESA C BERNIARD
Active
Individual
THERESA C BERNIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
53868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157121801
—
TX
01
—
430075913
RAILROAD MEDICARE
TX
01
—
82761U
BLUE CROSS
TX
Enumeration date
02/06/2007
Last updated
08/12/2013
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