Individual
DANIEL G BERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2304 HANCOCK DR STE 4, AUSTIN, TX 78756-2540
(512) 407-8444
(512) 407-8097
Mailing address
PO BOX 300087, AUSTIN, TX 78703-0002
(512) 407-8444
(512) 407-8097
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
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