Simin Berenji, PA
Physician Assistant in Georgetown, TX. Individual provider (NPI-1).
NPI number1871154591
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1871154591
- Entity type
- Individual (NPI-1)
- Name
- Simin Berenji
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2019
- Certification date
- Oct 26, 2023
- Last updated
- Oct 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA13300 | TX | Yes |
Practice location
4945 Williams DrGeorgetown, TX 78633-2008
Phone 512-259-6000 · Fax 210-706-2582
Mailing address
Po Box 844658Dallas, TX 75284-4658
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