Organization
ANN MARIE BERTLES MD PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE BERTLES MD (PRESIDENT)
(832) 437-9690
Entity
Organization
Contact information
Practice address
23232 KINGSLAND BLVD STE E, KATY, TX 77494-2985
(832) 437-9690
(832) 437-9694
Mailing address
23232 KINGSLAND BLVD STE E, KATY, TX 77494-2985
(832) 437-9690
(832) 437-9694
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS OF TX
0032XQ
TX
Enumeration date
03/21/2012
Last updated
06/07/2012
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