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Individual

DR. MARC S BERGER V

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12840 HILLCREST PLAZA DRIVE, SUITE E100, DALLAS, TX 75230-1532
(214) 341-8770
(214) 341-1603
Mailing address
P.O. BOX 821868, DALLAS, TX 75382-1868
(214) 341-8770
(214) 341-1603

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E7821
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
TX
Enumeration date
07/25/2006
Last updated
10/19/2012
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