# DAVID L. BERRY, M.D. PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699885541
- **Authorized official:** MRS. VIRGINIA LYNN NUTT (PRACTICE MANAGER)
- **Authorized official phone:** (512) 206-0101

## Contact information

- **Practice address:** 6500 N MOPAC, BUILDING 1, SUITE 1205, AUSTIN, TX 78731-3282
- **Practice address phone:** (512) 206-0101
- **Practice address fax:** (512) 206-0212
- **Mailing address:** 6500 N MOPAC, BUILDING 1, SUITE 1205, AUSTIN, TX 78731-3282
- **Mailing address phone:** (512) 206-0101
- **Mailing address fax:** (512) 206-0212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | J1499 | TX | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 081281001 | — | TX |