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Organization
LEONARD BERRY JR LLC
Active
Organization
LEONARD BERRY JR LLC
Active
Other names
Berry and Associates Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD AUTWOOD BERRY JR. MD (OWNER)
(972) 225-0081
Entity
Organization
Contact information
Practice address
9455 S LANCASTER HUTCHINS RD, HUTCHINS, TX 75141-3368
(972) 225-0081
(972) 225-0805
Mailing address
PO BOX 860, HUTCHINS, TX 75141-0860
(972) 225-0081
(972) 225-0805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H3620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139317516
—
TX
Enumeration date
06/23/2008
Last updated
01/13/2012
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