DR. Glenn Edward Berry, M.D.

NPI #1962578831 in Prairie View, Texas

Provider Information

NPI Number: 1962578831
Entity Type: Individual
Name: DR. Glenn Edward Berry, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: OJ BAKER AT REDA BLAND EVANS
City: Prairie View
State: Texas
ZIP Code: 77446
Phone: (936) 857-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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