Individual
WADE SCOTT BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, CCP, SA-C
Contact information
Practice address
2203 WOODMEN DR, SAN ANTONIO, TX 78209-4278
(979) 743-0508
Mailing address
2203 WOODMEN DR, SAN ANTONIO, TX 78209-4278
(979) 743-0508
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
FPF00001162
TX
246ZC0007X
Surgical Assistant
15593
TX
Other
Enumeration date
08/01/2012
Last updated
01/04/2021
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