Provider Demographics
NPI:1477220226
Name:BERKEMEIER, REBECCA DANIELLE (HWC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:DANIELLE
Last Name:BERKEMEIER
Suffix:
Gender:F
Credentials:HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11041 SHADOW CREEK PKWY STE 123
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7405
Mailing Address - Country:US
Mailing Address - Phone:346-206-1633
Mailing Address - Fax:713-436-7177
Practice Address - Street 1:11041 SHADOW CREEK PKWY STE 123
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7405
Practice Address - Country:US
Practice Address - Phone:346-206-1633
Practice Address - Fax:713-436-7177
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
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