NORTHEAST INTERNAL MEDICINE ASSOCIATES,PA
Osteopathic Medicine at Toepperwein Rd, San Antonio, TX

License number
Texas G2903
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. RANDY BERGMAN
Title: PRESIDENT
Phone: (210) 650-9669
Address
Address
12602 Toepperwein Rd SUITE 100, San Antonio, TX 78233
National Provider ID: 1134270333
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHEAST INTERNAL MEDICINE ASSOCIATES, PA

12602 Toepperwein Rd STE 100, San Antonio, TX 78233

Status:
Inactive
Doing business as:
Northeast Internal Medicine Associates, PA
Registration:
May 1, 1998
State ID:
0081903603
Business type:
Professional Association
Member , Secretary , Executive Committees:
Randy N. Bergman President , Director , Member, inactive,Randall M. Vanover Treasurer , Member , Executive Committee, inactive,Harmeet S. Mangat Member , Vice-President , Executive Committee, inactive,...
Agent:
Randy N Bergman,12602 Toepperwein Rd STE 100, San Antonio, TX 78233 (Physical)
TIN:
32036005257

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