Individual provider · Type 1 NPI

Emily Caroline Russell Berry, MD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1205032885 Active

Practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Call (214) 820-2361 Map

Mailing address

6709 Braeburn Dr
Dallas, TX 75214-2504

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10028394 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205032885

Emily Caroline Russell Berry, MD's National Provider Identifier is 1205032885, issued on Jun 21, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.