Individual
ELLEN BENEDICTA KOERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5468 LA SIERRA DR, SUITE 100, DALLAS, TX 75231-4160
(972) 619-7520
(972) 619-7521
Mailing address
5468 LA SIERRA DR, SUITE 100, DALLAS, TX 75231-4160
(972) 619-7520
(972) 619-7521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F1097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DM977
BCBS
TX
Enumeration date
12/27/2005
Last updated
02/07/2013
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