Individual
BAILEY CASSIDY BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY STE 230, MIDLAND, TX 79701-5856
(432) 221-3200
Mailing address
PO BOX 5291, MIDLAND, TX 79704-5291
(432) 221-5970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA175512
TX
Other
Enumeration date
11/04/2020
Last updated
02/01/2024
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