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Individual

GILBERT G BERDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 4TH ST, 2ND FLOOR, LUBBOCK, TX 79430-9410
(806) 743-3150
(806) 743-3168
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G6142
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10978534
NM
05
133908710
TX
01
162198100
FIRSTCARE
TX
01
202035797
PRESBYTERIAN COMMERCIAL AND SALUD
NM
01
8CA060
BLUE CROSS AND BLUE SHIELD
TX
01
8CA061
HMO BLUE
TX
01
P00716809
RAILROAD MEDICARE
TX
Enumeration date
02/20/2006
Last updated
01/13/2022
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