Berry, Phillip L.
Berry, Phillip L. is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 200 , Austin TX 78723-3078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Berry, Phillip L. can be contacted via phone (512) 628-1860.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Ste 200
Austin TX 78723-3078
Phone: (512) 628-1860
Fax: (512) 628-1861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | E2466 | Texas |
Profile Details
| NPI number | 1568428571 |
|---|---|
| LBN Legal business name | Berry, Phillip L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Apr 5th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568428571 | NPPES |
| Texas | MEDICAID | 134858304 |
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