Alfaro-Berg, Lisette
Alfaro-Berg, Lisette is an individual health care provider with primary practice located at 3600 Gaston Ave #550, Dallas TX 75246-1904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Alfaro-Berg, Lisette can be contacted via phone (214) 821-1177.Contact Information
Primary practice address
3600 Gaston Ave #550
Dallas TX 75246-1904
Phone: (214) 821-1177
Fax: (214) 821-1193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M1463 | Texas |
Profile Details
| NPI number | 1437189727 |
|---|---|
| LBN Legal business name | Alfaro-Berg, Lisette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jun 12th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437189727 | NPPES |
| Texas | MEDICAID | 175726201 | |
| Texas | Other | 8M5818 |
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