Individual
MIKE PRESTON BERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2000
(806) 212-2735
Mailing address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2000
(806) 212-2735
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
87223
MT
207P00000X
Emergency Medicine Physician
MD2015-0299
NM
207P00000X
Emergency Medicine Physician
Primary
Q5349
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2012
Last updated
04/18/2025
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