Bertolino, Paul David

Bertolino, Paul David is an individual health care provider with primary practice located at 8401 Datapoint Dr Ste 600 , San Antonio TX 78229-5907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bertolino, Paul David can be contacted via phone (210) 616-7700.

Contact Information

Primary practice address
8401 Datapoint Dr Ste 600 San Antonio TX 78229-5907
Phone: (210) 616-7700
Fax: (210) 616-7709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X N9811 Texas

Profile Details

NPI number 1548554553
LBN Legal business name Bertolino, Paul David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2011
Last updated Mar 14th, 2016 - about 8 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 1548554553 NPPES
Texas MEDICAID 2834038-03
Texas MEDICAID 2834038-04
Texas Other P01473765
Texas MEDICAID 2834038-05
Texas Other N9811
Texas Other P01473755

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