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Individual

PAUL BERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12222 VANCE JACKSON RD, SUITE 1322, SAN ANTONIO, TX 78230-5936
(210) 691-0800
Mailing address
12222 VANCE JACKSON RD, SUITE 1322, SAN ANTONIO, TX 78230-5936
(210) 691-0800

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L2137
TX
208000000X
Pediatrics Physician
Primary
L2137
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147286201
TX
01
8C0452
BCBS
TX
Enumeration date
02/22/2006
Last updated
08/11/2011
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