Individual
VICKI BERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 SPACE PARK DR STE C, HOUSTON, TX 77058-3469
(713) 304-2035
(281) 334-4324
Mailing address
407 CEDAR LAKE DR, LEAGUE CITY, TX 77573-0816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1775223
—
TX
Enumeration date
10/31/2006
Last updated
07/08/2007
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