Individual
STEPHANIE A BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
1709 RIO GRANDE ST, AUSTIN, TX 78701-1123
(512) 470-4911
Mailing address
1709 RIO GRANDE ST, AUSTIN, TX 78701-1123
(512) 470-4911
(512) 309-5544
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99183
TX
Other
Enumeration date
01/10/2013
Last updated
07/15/2014
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