Organization
BERNAL PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME E BERNAL MD (OWNER/PHYSICIAN)
(956) 519-4647
Entity
Organization
Contact information
Practice address
810 E VETERANS BLVD, SUITE H, PALMVIEW, TX 78572-5018
(956) 519-4647
(956) 519-4578
Mailing address
810 E VETERANS BLVD, SUITE H, PALMVIEW, TX 78572-5018
(956) 519-4647
(956) 519-4578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K3096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219832701
—
TX
05
—
219832702
—
TX
Enumeration date
09/16/2011
Last updated
09/16/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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