Individual
DAVID LEE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 NORTH MOPAC EXWY, BUILDING 1, SUITE 1205, AUSTIN, TX 78731
(512) 206-0101
(512) 206-0212
Mailing address
6500 NORTH MOPAC EXWY, BUILDING 1, SUITE 1205, AUSTIN, TX 78731
(512) 206-0101
(512) 206-0212
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
J1499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081281001
—
TX
Enumeration date
01/17/2008
Last updated
06/29/2011
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