Individual
BLAYNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4327 BARNETT RD, WICHITA FALLS, TX 76310-2303
(940) 764-7000
Mailing address
2410 CLAYTON LN, WICHITA FALLS, TX 76308-3904
(940) 781-9198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143687
TX
Other
Enumeration date
10/24/2019
Last updated
12/29/2023
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