| Richard W. Berry M.D. | |
|
631 W 38th St Ste 3 Austin TX 78705-1251 | |
| (512) 459-1238 | |
| (512) 459-3557 |
| Full Name | Richard W. Berry M.D. |
|---|---|
| Speciality | Family Medicine |
| Location | 631 W 38th St Ste 3, Austin, Texas |
| Authorized Official Name and Position | Colin Berry (OFFICE MANAGER) |
| Authorized Official Contact | 5124591238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard W. Berry M.D. 631 W 38th St Ste 3 Austin TX 78705-1251 Ph: (512) 459-1238 | Richard W. Berry M.D. 631 W 38th St Ste 3 Austin TX 78705-1251 Ph: (512) 459-1238 |
| NPI Number | 1730570037 |
|---|---|
| Provider Enumeration Date | 02/09/2015 |
| Last Update Date | 02/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730570037 | NPI | - | NPPES |
| E0814 | Other | TX | TEXAS STATE PROVIDER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E0814 (Texas) | Primary |
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