Individual
ANATOLI BEREZOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST FL 4, FORT WORTH, TX 76104-4917
(817) 702-1215
Mailing address
2728 TRAVIS AVE, FORT WORTH, TX 76110-3233
(414) 324-0401
(347) 905-4510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T4891
TX
Other
Enumeration date
04/02/2020
Last updated
01/22/2025
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