Individual
JOHN B BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4635 SOUTHWEST FWY STE 230, HOUSTON, TX 77027-7104
(713) 796-2101
(713) 796-1827
Mailing address
5667 SHADY RIVER DR, HOUSTON, TX 77056-1014
(713) 796-2101
(713) 796-1827
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D5915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1102455101
—
TX
Enumeration date
01/03/2006
Last updated
03/10/2022
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