Individual
ANGELIA COLWELL BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
12705 TOEPPERWEIN RD, LIVE OAK, TX 78233-3257
(210) 599-0922
(210) 616-9901
Mailing address
PO BOX 65057, SAN ANTONIO, TX 78265-5057
(210) 299-8000
(210) 616-9901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
619567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00950828
RR MEDICARE
TX
Enumeration date
06/10/2009
Last updated
05/21/2020
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