Individual
BYRON BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18211 KELLY BLVD APT 1313, DALLAS, TX 75287-4639
(205) 370-4147
Mailing address
18211 KELLY BLVD APT 1313, DALLAS, TX 75287-4639
(205) 370-4147
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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