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
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