Individual
AMPARO BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 FOREST LN, SUITE B-122, DALLAS, TX 75230-2571
(972) 383-1060
(972) 383-1061
Mailing address
8390 CHAMPIONSGATE BLVD, SUITE 215, CHAMPIONSGATE, FL 33896
(407) 390-1677
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J7431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139126001
—
TX
05
—
139126002
—
TX
05
—
139126003
—
TX
05
—
139126004
—
TX
05
—
139126005
—
TX
05
—
139126006
—
TX
05
—
139126007
—
TX
05
—
139126008
—
TX
05
—
139126009
—
TX
05
—
139126011
—
TX
05
—
139126012
—
TX
05
—
139126013
—
TX
05
—
139126014
—
TX
05
—
139126016
—
TX
05
—
139126017
—
TX
01
—
87W586
BCBS
TX
Enumeration date
12/04/2006
Last updated
01/18/2017
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