Individual
DR. MARIE BERKENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5907
(210) 614-0180
(210) 615-7170
Mailing address
4204 GARDENDALE ST, STE 312, SAN ANTONIO, TX 78229-3141
(210) 614-0180
(210) 614-0710
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
H1342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099597902
—
TX
05
—
099597903
—
TX
01
—
89X604
BCBS
TX
Enumeration date
01/12/2006
Last updated
11/15/2016
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