Joan L Bergstrom, Md Pa in Arlington - Multi-specialty
Joan L Bergstrom, Md Pa - NPI 1164647434
Joan L Bergstrom, Md Pa is a Multi-specialty in Arlington, Texas. Joan L Bergstrom, Md Pa practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Joan L Bergstrom, Md Pa is 1164647434. The last update date is 2016-02-22.
Joan L Bergstrom, Md Pa's current location address is 1001 N Waldrop Dr, Arlington, Texas. You can contact this provider via phone number 8172779415 and fax number 8172770360. The mailing address for Joan L Bergstrom, Md Pa is 1001 N Waldrop Dr, Arlington, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Joan L Bergstrom, Md Pa |
|---|---|
| Address | 1001 N Waldrop Dr, Arlington, Texas |
| Phone Number | 8172779415 |
| Fax Number | 8172770360 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bergstrom L Joan |
| Credentials | M.D. |
| Telephone Number | 8172779415 |
NPI Number Detail
| NPI Number | 1164647434 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2016-02-22 |
Provider Mailing Address Detail
| Address | 1001 N Waldrop Dr |
|---|---|
| City | Arlington |
| State | Texas (TX) |
| Post Code | 760124705 |
| Phone Number | 8172779415 |
| Fax Number | 8172770360 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | L0505 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1245214550 | TX | DR. PEPPLERS NPI | |
| 1396727814 | TX | DR. BERGSTROMS NPI |
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What is the unique provider identifier assigned to Joan L Bergstrom, Md Pa?
The Joan L Bergstrom, Md Pa has been issued the NPI (National Provider Identifier) 1164647434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Joan L Bergstrom, Md Pa located?
The Joan L Bergstrom, Md Pa is located at 1001 N Waldrop Dr, Arlington, TX 760124705.
What is Joan L Bergstrom, Md Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joan L Bergstrom, Md Pa's area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
When did the Joan L Bergstrom, Md Pa receive its 1164647434?
The Joan L Bergstrom, Md Pa was issued its 1164647434 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
When was the Joan L Bergstrom, Md Pa's information last updated?
The Joan L Bergstrom, Md Pa's information was last updated on 2016-02-22.