Organization
LEONARD BERRY JR. LLC
Active
Other names
LEONARD BERRY JR. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YVETTE R WEBBER (OFFICE MANAGER)
(972) 225-0081
Entity
Organization
Contact information
Practice address
9455 S LANCASTER HUTCHINS RD, HUTCHINS, TX 75141-3368
(972) 225-0081
(972) 225-0805
Mailing address
PO BOX 860, HUTCHINS, TX, HUTCHINS, TX 75141-0860
(972) 225-0081
(972) 225-0805
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H3620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1393175 17
—
TX
01
—
8BN470
BCBS
TX
Enumeration date
01/07/2014
Last updated
01/07/2014
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