Berry, Robert Eugene

Berry, Robert Eugene is an sole proprietor health care provider with primary practice located at 19200 Preston Rd Ste 120 , Dallas TX 75252-2450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Berry, Robert Eugene can be contacted via phone (469) 200-2832.

Contact Information

Primary practice address
19200 Preston Rd Ste 120 Dallas TX 75252-2450
Phone: (469) 200-2832
Fax: (469) 269-1074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 20A7616 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M1511 Texas

Profile Details

NPI number 1316971740
LBN Legal business name Berry, Robert Eugene
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Mar 17th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316971740 NPPES
Texas MEDICAID 174448403

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