Individual
MECHELLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 94043 LOOP RD, FORT HOOD, TX 76544
(254) 288-4151
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 288-8888
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
314267
TX
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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