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NPI Code Detail

MEDICARE: TAMI BERCKENHOFF PA

MEDICARE: TAMI BERCKENHOFF PA
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
1363AM0700XMedical Physician AssistantPA02051TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA02051OTHERTXMEDICAL LICENSE

General Provider Information

NPI Number : 1801955893
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMI BERCKENHOFF PA
Provider Business Mailing Address
First Line : PO BOX 4356
Second Line : DEPARTMENT 667
City : HOUSTON
State : TX
Zip : 77210-4356
Country : US
Telephone Number : 281-586-3888
Fax Number : 281-440-2020
Provider Business Practice Location Address
First Line : 837 FM 1960 RD W
Second Line : SUITE 105
City : HOUSTON
State : TX
Zip : 77090-3423
Country : US
Telephone Number : 281-586-3888
Fax Number : 281-440-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 12/14/2009

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Directions to “ TAMI BERCKENHOFF PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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