| Berry Medical Clinic | |
|
8518 Jensen Dr Houston TX 77093-7510 | |
| (713) 691-2112 | |
| (713) 691-1771 |
| Full Name | Berry Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 8518 Jensen Dr, Houston, Texas |
| Authorized Official Name and Position | Kwame Adu-gyamfi (DIRECTOR) |
| Authorized Official Contact | 7136912112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berry Medical Clinic 8518 Jensen Drive Houston TX 77093-7510 Ph: (713) 691-2112 | Berry Medical Clinic 8518 Jensen Dr Houston TX 77093-7510 Ph: (713) 691-2112 |
| NPI Number | 1356490882 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 03/07/2011 |
| Medicare PECOS PAC ID | 1254333537 |
|---|---|
| Medicare Enrollment ID | O20070215000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356490882 | NPI | - | NPPES |
| 184797201 | Medicaid | TX | |
| 184797202 | Other | TX | THSTEP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| Provider Name | Paula L Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982632709 PECOS PAC ID: 4082609987 Enrollment ID: I20040419001670 |
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