Individual
MS. MARY CHARLENE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3535 S INTERSTATE 35 E, DENTON, TX 76210-6850
(940) 384-3270
(940) 384-4723
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
670102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162756402
—
TX
Enumeration date
12/27/2005
Last updated
02/17/2009
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