Provider Demographics
NPI:1275080103
Name:BERGES CHEZ, EDDY ENMANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:EDDY
Middle Name:ENMANUEL
Last Name:BERGES CHEZ
Suffix:
Gender:M
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:PO BOX 1346
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-1346
Mailing Address - Country:US
Mailing Address - Phone:939-285-7265
Mailing Address - Fax:
Practice Address - Street 1:902 S AIRPORT DR STE 3
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6649
Practice Address - Country:US
Practice Address - Phone:956-619-8000
Practice Address - Fax:956-421-2787
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19431261QE0002X
TXS4923207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care