Doctor Name: | JOSEPH R BERGER |
NPI Number: | 1508859596 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | K0636 |
Business Practice Address: | 480 E Main St Fairfield, TX - 758404313 |
Business Phone Number: | 9033893126 |
Business Fax Number: | 9033893139 |
Mailing Address: | 480 E Main St, FAIRFIELD |
State: | TX |
Postal Code: | 758404313 |
Phone Number: | 9033893126 |
Fax Number: | 9033893139 |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | K0636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |