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Individual
DR. SUZANNE CLAIRE BERRY
Active
Individual
DR. SUZANNE CLAIRE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K9729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050080207
RAILROAD MEDICARE
TX
05
—
143536401
—
TX
05
—
143536406
—
TX
01
—
8A1187
TX-BLUE SHIELD
—
Enumeration date
01/04/2007
Last updated
02/23/2017
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