Healthcare Provider Details

I. General information

NPI: 1750545901
Provider Name (Legal Business Name): ESTEBAN N. BERBERIAN, MD, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12930 EAST FWY
HOUSTON TX
77015-5710
US

IV. Provider business mailing address

PO BOX 1939
CHANNELVIEW TX
77530-1939
US

V. Phone/Fax

Practice location:
  • Phone: 281-984-8799
  • Fax: 832-941-5533
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK8002
License Number StateTX

VIII. Authorized Official

Name: TAMMY ANDERSON
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 281-984-8799