Individual
MRS. SUSAN M BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11601 TOEPPERWEIN RD, LIVE OAK, TX 78233-3147
(210) 946-2020
Mailing address
11601 TOEPPERWEIN RD, LIVE OAK, TX 78233-3147
(210) 946-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
H1990
TX
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
H1990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126420201
—
TX
Enumeration date
09/20/2006
Last updated
03/10/2025
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