Bergeron, John

Bergeron, John is an individual health care provider with primary practice located at 1961 W T C Jester Blvd , Houston TX 77008-1256. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bergeron, John can be contacted via phone (713) 868-3223.

Contact Information

Primary practice address
1961 W T C Jester Blvd Houston TX 77008-1256
Phone: (713) 868-3223
Fax: (713) 861-8970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J3987 Texas

Profile Details

NPI number 1376690503
LBN Legal business name Bergeron, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376690503 NPPES
Texas Other J3987 STATE MEDICAL LICENSE

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