Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | H5152 | TX |
N | 2080P0207X | Pediatric Hematology-Oncologist | 35-07-1879-B | OH |
N | 2080P0207X | Pediatric Hematology-Oncologist | H5152 | TX |
NPI | 1275635328 |
---|---|
Provider Name | Dr. Sven Thomas Berg |
First Address | Spring, TX 77379-7532 |
Second Address | Lackland A F B, TX 78236-9907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 08/07/2007 |