Individual
PRISCILLA MARIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8222 DOUGLAS AVE, STE 400, DALLAS, TX 75225-5923
(214) 369-6434
(214) 696-6273
Mailing address
8222 DOUGLAS AVE, STE 400, DALLAS, TX 75225-5923
(214) 369-6434
(214) 696-6273
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D4033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120166701
—
TX
01
—
180004702
RAILROAD MEDICARE
TX
Enumeration date
05/10/2006
Last updated
05/06/2008
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