Individual
DR. JASON ERTAN BERILGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9323 PINECROFT DR, SUITE110, THE WOODLANDS, TX 77380-3223
(281) 943-2440
Mailing address
9323 PINECROFT DR, SUITE110, THE WOODLANDS, TX 77380-3223
(281) 943-2440
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M6046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019BY
GROUP MEDICARE NUMBER
TX
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID NUMBER
TX
05
—
206113701
—
TX
05
—
206113703
—
TX
Enumeration date
06/14/2007
Last updated
04/10/2017
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