Individual
DR. ALEXANDER BERKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K8003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050073884
RAILROAD MEDICARE
TX
05
—
106150902
—
TX
01
—
80773Y
TX-BLUE SHIELD
—
Enumeration date
01/04/2007
Last updated
09/02/2020
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