Individual
DON WAYNE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
624 RIO GRAND LOOP, GEORGETOWN, TX 78633
(806) 789-6136
Mailing address
624 RIO GRAND LOOP, GEORGETOWN, TX 78633
(806) 789-6136
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D4602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P00CB758
—
TX
Enumeration date
09/25/2009
Last updated
09/25/2009
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