Provider Demographics
NPI:1508169749
Name:ALEXANDER S. BERNATH, M.D.,P.A.
Entity Type:Organization
Organization Name:ALEXANDER S. BERNATH, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:BERNATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-892-5500
Mailing Address - Street 1:1117 GALLAGHER DR STE 460
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-3107
Mailing Address - Country:US
Mailing Address - Phone:903-892-5500
Mailing Address - Fax:903-892-3884
Practice Address - Street 1:1117 GALLAGHER DR STE 460
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-3107
Practice Address - Country:US
Practice Address - Phone:903-892-5500
Practice Address - Fax:903-892-3884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTXG4525174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty