Provider Demographics
NPI:1003840182
Name:BERK, ALAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:M
Last Name:BERK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3839 MCKINNEY AVENUE
Mailing Address - Street 2:STE 155 - 750
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-1413
Mailing Address - Country:US
Mailing Address - Phone:214-799-3271
Mailing Address - Fax:940-302-4073
Practice Address - Street 1:3839 MCKINNEY AVE
Practice Address - Street 2:STE 155-750
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-1413
Practice Address - Country:US
Practice Address - Phone:214-799-3271
Practice Address - Fax:940-302-4073
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2016-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH7894207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C7047Medicare PIN
TX8C6633Medicare PIN