Individual
STACEY A BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4847
(682) 885-6111
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35158
AZ
207ZP0213X
Pediatric Pathology Physician
Primary
Q9959
TX
Other
Enumeration date
05/13/2006
Last updated
04/21/2021
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