Provider Demographics
NPI:1750905444
Name:CRUZ ALBERTO BERNAL MD PLLC
Entity type:Organization
Organization Name:CRUZ ALBERTO BERNAL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRUZ
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:BERNAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-773-3331
Mailing Address - Street 1:590 E MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-4773
Mailing Address - Country:US
Mailing Address - Phone:830-773-3331
Mailing Address - Fax:
Practice Address - Street 1:590 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-4773
Practice Address - Country:US
Practice Address - Phone:830-773-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty