Individual
MR. MICHAEL G. BERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6730 INDEPENDENCE BLVD, #300, BAYTOWN, TX 77521
(713) 351-7360
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5275
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
K3556
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
K3556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
01
—
10009096
AMERIGROUP
TX
05
—
143877205
—
TX
01
—
82867G
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/26/2006
Last updated
04/21/2015
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