Individual
DR. GLENN EDWARD BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
OJ BAKER AT REDA BLAND EVANS, PRAIRIE VIEW, TX 77446
(936) 857-2511
(936) 857-4999
Mailing address
PO BOX 457, PRAIRIE VIEW, TX 77446-0457
(936) 857-2511
(936) 857-4999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H1689
TX
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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