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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.

Location: 2520 Heather Brook Ln Apt 804, Arlington, TX, 75054-0574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Arlington
State
Texas
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
Arlington
State
Texas
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
171000000X
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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