Individual
BENNIE JOHANNES BERKVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
917 S PORT AVE, CORPUS CHRISTI, TX 78405-2301
(361) 882-6161
(888) 711-1008
Mailing address
5930 REGENCY DR, CORPUS CHRISTI, TX 78414-2413
(254) 592-3253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q0607
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2012
Last updated
07/01/2016
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