person
Grada Berry
Military Health Care Provider in Arlington, Texas
NPI 1346629094

Grada Berry is a Military Health Care Provider based in Grand Prairie, TX. Grada Berry practices in Arlington, TX. The NPI Number for Grada Berry is 1346629094 and holds a License No. 016187 (Texas).

The current practice location address for Grada Berry is 2520 Heather Brook Ln Apt 804, Arlington, TX and can be reached out via phone at 817-633-0383 and via fax at 817-633-0084. You can also correspond with Grada Berry through the mailing address at PO BOX 540574, GRAND PRAIRIE, TX - 75054-0574 (mailing address contact number: 817-633-0383).

Location: 2520 Heather Brook Ln Apt 804, Arlington, TX, 75054-0574
person
Provider Profile Details
NPI Number
1346629094
Provider Name
Grada Berry
Credential
Provider Entity Type
Individual
Gender
Female
Address
2520 Heather Brook Ln Apt 804, Arlington, TX, 75054-0574
Phone Number
817-633-0383
Fax Number
817-633-0084
Provider Enumeration Date
05/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2520 Heather Brook Ln Apt 804
City
State
Zip
76006-5177
Phone Number
817-633-0383
Fax Number
817-633-0084
person
Provider Business Mailing Address Details
Address
2520 Heather Brook Ln Apt 804
City
State
Zip
76006-5177
Phone Number
817-633-0383
Fax Number
817-633-0084
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
016187 (Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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