Individual
MARTIN R BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7150 GREENVILLE AVE STE 500, DALLAS, TX 75231-7906
(214) 369-3613
(214) 369-6042
Mailing address
7150 GREENVILLE AVE STE 500, DALLAS, TX 75231-7906
(214) 369-3613
(214) 369-6042
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
J1191
TX
207RC0000X
Cardiovascular Disease Physician
J1191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060025455
RAILROAD
TX
01
—
060031202
RAILROAD
TX
05
—
118259401
—
TX
01
—
83G906
MEDICARE PTAN
TX
01
—
85C475
BCBS
TX
01
—
P00044327
RAILROAD
TX
Enumeration date
07/19/2005
Last updated
05/07/2018
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