Individual
JIMMY VLADMIR BERTHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(210) 920-9555
Mailing address
UTHEALTH SCIENCE CENTER, 6431 FANNIN ST., MSB 7.044, HOUSTON, TX 77030
(713) 500-7100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301114234
MI
2084N0400X
Neurology Physician
Primary
T6430
TX
2084V0102X
Vascular Neurology Physician
4301114234
MI
2084V0102X
Vascular Neurology Physician
T6430
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/23/2012
Last updated
01/31/2023
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