Individual
DR. LISETTE ALFARO-BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 GASTON AVE, #550, DALLAS, TX 75246-1904
(214) 821-1177
(214) 821-1193
Mailing address
PO BOX 849931, DALLAS, TX 75284-0001
(214) 821-1177
(214) 821-1193
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
M1463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175726201
—
TX
01
—
8M5818
BCBS
TX
Enumeration date
07/03/2006
Last updated
06/12/2014
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