person
Mr. David Berardelli
Prosthetics Case Management in San Antonio, Texas
NPI 1659601946

David Berardelli is a Prosthetics Case Management based in San Antonio, TX and is specialized in Prosthetics Case Management. David Berardelli practices in San Antonio, TX. The NPI Number for David Berardelli is 1659601946 and holds a License No. 209-10982 (Texas).

The current practice location address for David Berardelli is 16607 Blanco Road, San Antonio, TX and can be reached out via phone at 361-230-0466 and via fax at 210-493-9504.

Location: 16607 Blanco Road, San Antonio, TX, 78232-1940
person
Provider Profile Details
NPI Number
1659601946
Provider Name
David Berardelli
Credential
Provider Entity Type
Individual
Gender
Male
Address
16607 Blanco Road, San Antonio, TX, 78232-1940
Phone Number
361-230-0466
Fax Number
210-493-9504
Provider Enumeration Date
01/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209-10982 01 TX TEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL #
C21287 01 TX BOARD FOR ORTHOTISTS AND PROSTHISTS CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
16607 Blanco Road
City
State
Zip
78232-1940
Phone Number
361-230-0466
Fax Number
210-493-9504
person
Provider Business Mailing Address Details
Address
16607 Blanco Road
City
State
Zip
78232-1940
Phone Number
361-230-0466
Fax Number
210-493-9504
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
209-10982 (Texas)
Definition
Definition to come...
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