Northeast Internal Medicine Associates,pa

NPI #1134270333 in Live Oak, Texas

Provider Information

NPI Number: 1134270333
Entity Type: Organization
Organization Name: Northeast Internal Medicine Associates,pa
Primary Specialty: Internal Medicine
Enumeration Date: Jan 15, 2007
Last Updated: Oct 25, 2007

Practice Location

Address: 12602 TOEPPERWEIN RD
Address 2: SUITE 100
City: Live Oak
State: Texas
ZIP Code: 78233-3269
Phone: (210) 650-9669

Authorized Official

Name: DR. RANDY BERGMAN
Title: PRESIDENT
Phone: (210) 650-9669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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