Individual
ANGELIS BERIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24540 FM 1314 RD, PORTER, TX 77365-4204
(281) 354-4009
(281) 354-8815
Mailing address
24540 FM 1314 RD, PORTER, TX 77365-4204
(281) 354-4009
(281) 354-8815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H1040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00QJ87
BCBS
TX
05
—
111840801
—
TX
Enumeration date
11/02/2005
Last updated
07/16/2008
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