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Individual

MS. TARAH R BERTZYK

Active
Find providers by NPI
Individual

MS. TARAH R BERTZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
PA06239
TX
207Q00000X
Family Medicine Physician
Primary
PA06239
TX
363AM0700X
Medical Physician Assistant
PA06239
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390958ZMEG
MEDICARE PTAN
TX
Enumeration date
07/27/2009
Last updated
12/02/2015
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