Individual
MRS. BERENICE BISONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 645-0355
Mailing address
PO BOX 840853, DALLAS, TX 75284-5347
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128805
TX
Other
Enumeration date
08/13/2015
Last updated
06/01/2018
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