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General NPI Number Information
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NPI Number | 1164355376
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Entity Type | Individual
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Provider Name | MICHAEL FELIX BERTRAND
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Gender | Male
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Dates
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Enumeration Date | 06/06/2026
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 3011 W LOOP 1604 N
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City | SAN ANTONIO
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State | TX
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Zip | 78251-3963
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Country | US
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Telephone | 726-266-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 4314 HOLLY RIDGE DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-5039
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | 684573
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License Number State | TX
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