Individual
MS. COURTNEY MARIE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 358-9000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355332301
—
TX
01
—
355332302
CSN
TX
Enumeration date
01/27/2016
Last updated
05/31/2018
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