Individual
DR. JOHN BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1961 W T C JESTER BLVD, HOUSTON, TX 77008-1256
(713) 868-3223
(713) 861-8970
Mailing address
1961 W T C JESTER BLVD, HOUSTON, TX 77008-1256
(713) 868-3223
(713) 861-8970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J3987
STATE MEDICAL LICENSE
TX
Enumeration date
01/03/2007
Last updated
07/09/2007
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