Individual
TAMI BERCKENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
837 FM 1960 RD W, SUITE 105, HOUSTON, TX 77090-3423
(281) 586-3888
(281) 440-2020
Mailing address
PO BOX 4356, DEPARTMENT 667, HOUSTON, TX 77210-4356
(281) 586-3888
(281) 440-2020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA02051
MEDICAL LICENSE
TX
Enumeration date
12/06/2006
Last updated
12/14/2009
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