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Individual

MR. BERNARD NATHAN SHICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6501 FANNIN ST STE NC114, HOUSTON, TX 77030-2703
(713) 798-7356
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G9660
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050041711
RAILROAD - MEDICARE
TX
05
126662905
TX
01
1997056
LA - MEDICAID
LA
01
84Y627
TX-BLUE SHIELD
Enumeration date
01/18/2007
Last updated
06/19/2025
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