Rnl Berwick Im

LBN: Rnl Berwick Im
Rnl Berwick Im is an health care organization with primary practice located at 690 S Loop 336 W Suite 3050, Conroe TX 77304-3318. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Rnl Berwick Im can be contacted via phone (936) 760-7850, or through Berwick, A Glen via phone (936) 760-7850.

Contact Information

Primary practice address
690 S Loop 336 W Suite 3050 Conroe TX 77304-3318
Fax: (936) 521-7396
Website:
Authorized official contact:
Name: Berwick, A Glen Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E6039 Texas

Profile Details

NPI number 1285996249
LBN Legal business name Rnl Berwick Im
DBA Doing business as
Authorized official Berwick, A Glen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2012
Last updated Oct 30th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285996249 NPPES
Texas MEDICAID 1151946-02.

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