Provider Demographics
NPI:1154676302
Name:SERPAS, BERENICE CASTANEDA (MD)
Entity Type:Individual
Prefix:DR
First Name:BERENICE
Middle Name:CASTANEDA
Last Name:SERPAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ARKADELPHIA RD NE
Mailing Address - Street 2:
Mailing Address - City:HANCEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35077-4700
Mailing Address - Country:US
Mailing Address - Phone:256-352-4767
Mailing Address - Fax:
Practice Address - Street 1:4706 TIDEWATER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4138
Practice Address - Country:US
Practice Address - Phone:713-498-7291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine