Berry-Roberts, Crystal
Berry-Roberts, Crystal is an individual health care provider with primary practice located at 1301 W 38Th St Suite 205, Austin TX 78705-1000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Berry-Roberts, Crystal can be contacted via phone (512) 451-0161.Contact Information
Primary practice address
1301 W 38Th St Suite 205
Austin TX 78705-1000
Phone: (512) 451-0161
Fax: (512) 406-7333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | P9304 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | P9304 | Texas |
Profile Details
| NPI number | 1821319468 |
|---|---|
| LBN Legal business name | Berry-Roberts, Crystal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2010 |
| Last updated | Mar 23rd, 2015 - about 10 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 | 1821319468 | NPPES |
| Texas | MEDICAID | 340413902 | |
| Texas | MEDICAID | 340413901 |
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