| Berry Medical Care, Pllc | |
|
4201 E Berry St Ste 15 Fort Worth TX 76105-5053 | |
| (817) 535-8200 | |
| (817) 535-8207 |
| Full Name | Berry Medical Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4201 E Berry St, Fort Worth, Texas |
| Authorized Official Name and Position | Michele Graham (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9722451315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berry Medical Care, Pllc 4201 E Berry St Ste 15 Fort Worth TX 76105-5053 Ph: (817) 535-8200 | Berry Medical Care, Pllc 4201 E Berry St Ste 15 Fort Worth TX 76105-5053 Ph: (817) 535-8200 |
| NPI Number | 1659764850 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659764850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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