Individual
DR. RICHARD A. BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2610 S IH 35, AUSTIN, TX 78704-5703
(512) 443-9715
(512) 443-9845
Mailing address
2610 S IH 35, AUSTIN, TX 78704-5703
(512) 443-9715
(512) 443-9845
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G2318
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117173801
—
TX
05
—
117173806
—
TX
01
—
180012855
RAILROAD MEDICARE
—
01
—
816484
BCBS
TX
01
—
8K9639
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
06/29/2006
Last updated
03/07/2023
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