Individual
DONNA K BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6410 FANNIN ST, 1020, HOUSTON, TX 77030-3000
(832) 325-7090
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192685901
—
TX
01
—
87N251
BCBS
TX
Enumeration date
07/11/2006
Last updated
07/29/2008
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