Nicole M Bereolos


Address: 9330 Lbj Fwy, Suite 900, Dallas, TX 75243-3443
Phone: 9727687994

Nicole M Bereolos (NPI# 1427341825, PAC ID# 9032384482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1427341825
PAC ID by PECOS 9032384482
Professional Enrollment ID I20111213000601
Full Name Nicole M Bereolos
Address 9330 Lbj Fwy
Suite 900
Dallas
TX 75243-3443
Phone Number 9727687994
Gender F
Graduation Year 2007
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
9330 Lbj Fwy, Suite 900, Dallas, TX 75243-3443 9727687994

Organization Information

Office Location

Street Address 9330 LBJ FWY
SUITE 900
City DALLAS
State TX
Zip 75243-3443

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Competitor

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City DALLAS
Zip Code 75243
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty DALLAS + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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