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Organization
RICHARD W. BERRY M.D.
Active
Organization
RICHARD W. BERRY M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLIN BERRY (OFFICE MANAGER)
(512) 459-1238
Entity
Organization
Contact information
Practice address
631 W 38TH ST STE 3, AUSTIN, TX 78705-1251
(512) 459-1238
(512) 459-3557
Mailing address
631 W 38TH ST STE 3, AUSTIN, TX 78705-1251
(512) 459-1238
(512) 459-3557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0814
TEXAS STATE PROVIDER LICENSE
TX
Enumeration date
02/09/2015
Last updated
02/09/2015
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