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Individual

DR. MARK B BERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7501 FANNIN ST STE 750, HOUSTON, TX 77054-1957
(713) 979-1190
Mailing address
PO BOX 4346, HOUSTON, TX 77210-4346
(713) 979-1190
(713) 979-1197

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
F9195
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078MT
BCBS PROVIDER #
TX
05
1338683
TX
Enumeration date
10/25/2006
Last updated
11/08/2007
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