Elizabeth C. Berigan, M.d. | |
2310 De Lee St Bryan TX 77802-2815 | |
(979) 774-0400 | |
(979) 774-8908 |
Full Name | Elizabeth C. Berigan, M.d. |
---|---|
Speciality | Internal Medicine |
Location | 2310 De Lee St, Bryan, Texas |
Authorized Official Name and Position | Elizabeth Catherine Berigan (OWNER) |
Authorized Official Contact | 9797740400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elizabeth C. Berigan, M.d. 2310 De Lee St Bryan TX 77802-2815 Ph: (979) 774-0400 | Elizabeth C. Berigan, M.d. 2310 De Lee St Bryan TX 77802-2815 Ph: (979) 774-0400 |
NPI Number | 1548344401 |
---|---|
Provider Enumeration Date | 10/25/2006 |
Last Update Date | 08/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548344401 | NPI | - | NPPES |
172593901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J4716 (Texas) | Primary |
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