Individual
MICHAEL EDWARD BERKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1302 WAUGH DR # 684, HOUSTON, TX 77019-3908
(970) 230-0154
(970) 315-0374
Mailing address
1302 WAUGH DR # 684, HOUSTON, TX 77019-3908
(970) 230-0154
(970) 315-0374
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DRP 0000604
CO
207X00000X
Orthopaedic Surgery Physician
Primary
F3042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1244409
—
CO
Enumeration date
04/14/2006
Last updated
04/26/2017
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