Joan L Bergstrom, Md Pa
LBN: Joan L Bergstrom, Md Pa
Joan L Bergstrom, Md Pa is an health care organization with primary practice located at 1001 N Waldrop Dr Suite 505, Arlington TX 76012-4705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Joan L Bergstrom, Md Pa can be contacted via phone (817) 277-9415, or through Bergstrom, Joan L via phone (817) 277-9415.
Contact Information
Primary practice address
1001 N Waldrop Dr Suite 505
Arlington TX 76012-4705
Phone: (817) 277-9415
Fax: (817) 277-0360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | G8579 | Texas |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | L0505 | Texas |
Profile Details
| NPI number | 1164647434 |
|---|---|
| LBN Legal business name | Joan L Bergstrom, Md Pa |
| DBA Doing business as | |
| Authorized official | Bergstrom, Joan L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Feb 22nd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164647434 | NPPES |
| Texas | Other | 1245214550 | DR. PEPPLERS NPI |
| Texas | Other | 1396727814 | DR. PEPPLERS NPI |
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