MEDICARE: DR. ALAN M BERK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	H7894	TX

General Provider Information

NPI Number	:	1003840182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN M BERK MD

Provider Business Mailing Address
First Line	:	3839 MCKINNEY AVENUE
Second Line	:	STE 155 - 750
City	:	DALLAS
State	:	TX
Zip	:	75204-1413
Country	:	US
Telephone Number	:	214-799-3271
Fax Number	:	940-302-4073

Provider Business Practice Location Address
First Line	:	3839 MCKINNEY AVE
Second Line	:	STE 155-750
City	:	DALLAS
State	:	TX
Zip	:	75204-1413
Country	:	US
Telephone Number	:	214-799-3271
Fax Number	:	940-302-4073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	03/16/2016

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