Individual
MR. TERRANCE SHAWN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NA0060029248
Contact information
Practice address
7750 CULEBRA RD APT 706, SAN ANTONIO, TX 78251-1481
(601) 882-7470
Mailing address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0060029248
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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