Kenneth R Bernal DO

NPI 1023087434 - Family Medicine - 207Q00000X

NPI Details
NPI 1023087434
Gender Male
Enumeration Date 03/16/2006
Last Updated 06/11/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3090 N GOLIAD ST STE 102
ROCKWALL TX, 75087-7049, US
Phone (469) 267-6815
Fax (972) 722-7546
Business Location
3090 N GOLIAD ST STE 102
ROCKWALL TX, 75087-7049, US
Phone (469) 267-6815
Fax (972) 412-2503
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number H2245
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According to our database, Kenneth R Bernal DO NPI is 1023087434, taxonomy code is 207Q00000X and license number is H2245, license state is located at Texas. Kenneth R Bernal DO physically located at 3090 N Goliad St Ste 102, Rockwall TX, 75087-7049. NPI Number Kenneth R Bernal DO has the Individual type.

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1023087434 NPI number is provided on an as is basis without warranty of any kind. 1023087434 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth R Bernal DO are for informational purposes only.