Individual
DR. ROBERT EUGENE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19200 PRESTON RD STE 120, DALLAS, TX 75252-2450
(469) 200-2832
(469) 269-1074
Mailing address
19200 PRESTON RD STE 120, DALLAS, TX 75252-2450
(469) 200-2832
(469) 269-1074
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
20A7616
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M1511
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174448403
—
TX
Enumeration date
07/10/2006
Last updated
03/17/2018
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