Berg, Graylon Robert

Berg, Graylon Robert is an individual health care provider with primary practice located at 117 E Griffin Pkwy , Mission TX 78572-2909. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Berg, Graylon Robert can be contacted via phone (956) 413-7541.

Contact Information

Primary practice address
117 E Griffin Pkwy Mission TX 78572-2909
Phone: (956) 413-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 39575 Texas

Profile Details

NPI number 1568155828
LBN Legal business name Berg, Graylon Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2023
Last updated Jun 15th, 2023 - about last year

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.

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