Individual
DR. JOSE L BERLIOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 MCPHERSON RD STE 101, LAREDO, TX 78045-6363
(956) 724-7145
(956) 724-4944
Mailing address
P O BOX 450594, LAREDO, TX 78045-0014
(956) 724-7145
(956) 724-4944
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K5812
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
K5812
TX
2080P0203X
Pediatric Critical Care Medicine Physician
K5812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030700104
—
TX
05
—
030700106
—
TX
05
—
030700108
—
TX
Enumeration date
06/24/2006
Last updated
10/24/2023
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