Doctor Name: | SIDNEY HOWARD BERNSTEIN |
NPI Number: | 1811936750 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | D6372 |
Business Practice Address: | 6020 W Parker Rd Plano, TX - 750938171 |
Business Phone Number: | 9726085000 |
Business Fax Number: | 9726085020 |
Mailing Address: | Po Box 262409, PLANO |
State: | TX |
Postal Code: | 750262409 |
Phone Number: | 9726085000 |
Fax Number: | 9726085020 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D6372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |