Individual
DANIEL G BERSON
Active
Individual
DANIEL G BERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A-2246-19
NM
207L00000X
Anesthesiology Physician
L-9100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166690102
—
TX
05
—
1666901103
—
TX
01
—
L-9100
STATE LICENSE
TX
01
—
P00302021
MEDICARE RAILROAD
—
01
—
P00376055
MEDICARE RAILROAD
—
Enumeration date
02/15/2006
Last updated
05/23/2019
Update your record
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