Provider Demographics
NPI:1992982953
Name:COMPASSION CARE CLINIC P.C.
Entity type:Organization
Organization Name:COMPASSION CARE CLINIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-333-3033
Mailing Address - Street 1:1050 N WESTMORELAND RD
Mailing Address - Street 2:SUITE 432
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-2444
Mailing Address - Country:US
Mailing Address - Phone:214-333-3033
Mailing Address - Fax:214-330-2163
Practice Address - Street 1:1050 N WESTMORELAND RD
Practice Address - Street 2:SUITE 432
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-2444
Practice Address - Country:US
Practice Address - Phone:214-333-3033
Practice Address - Fax:214-330-2163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9967207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y995Medicare PIN