Bergstresser, Paul R

Bergstresser, Paul R is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bergstresser, Paul R can be contacted via phone (214) 645-2400.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E6993 Texas

Profile Details

NPI number 1184693632
LBN Legal business name Bergstresser, Paul R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 28th, 2008 - about 16 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 1184693632 NPPES
Texas MEDICAID 119050602

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