Individual
GENETTE MARIE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3111
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T4120
TX
Other
Enumeration date
06/18/2019
Last updated
07/04/2022
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