Individual provider · Type 1 NPI
Grada Berry
Military Health Care Provider · Arlington, TX
NPI number
1346629094
Active
Practice location
2520 Heather Brook Ln Apt 804
Arlington, TX 76006-5177
Fax (817) 633-0084
Mailing address
PO Box 540574
Grand Prairie, TX 75054-0574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 016187 (TX) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Another provider at this address
About NPI 1346629094
Grada Berry's National Provider Identifier is 1346629094, issued on May 28, 2015. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Arlington, TX. The record was last updated on May 28, 2015.