Individual
DR. CRAIG TOBIAS BERENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2608 BROCKTON DR, AUSTIN, TX 78758-4414
(512) 654-4050
(512) 654-4051
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143675001
—
TX
01
—
8A3811
BLUE CROSS PIN
TX
Enumeration date
01/10/2007
Last updated
01/17/2022
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