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Mark Daniel Berry
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1639817497

Mark Daniel Berry is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Mark Daniel Berry practices in Lubbock, TX. The NPI Number for Mark Daniel Berry is 1639817497 and holds a License No. BP10080216 (Texas).

The current practice location address for Mark Daniel Berry is Department Of Ophthalmology 3601 4Th St, Lubbock, TX and can be reached out via phone at 806-743-2020.

Location: Department Of Ophthalmology 3601 4Th St, Lubbock, TX, 79430-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639817497
Provider Name
Mark Daniel Berry
Credential
Provider Entity Type
Individual
Gender
Male
Address
Department Of Ophthalmology 3601 4Th St, Lubbock, TX, 79430-0001
Phone Number
806-743-2020
Fax Number
Provider Enumeration Date
05/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Department Of Ophthalmology 3601 4Th St
City
Lubbock
State
Texas
Zip
79430-0001
Phone Number
806-743-2020
Fax Number
person
Provider Business Mailing Address Details
Address
Department Of Ophthalmology 3601 4Th St
City
Lubbock
State
Texas
Zip
79430-0001
Phone Number
806-743-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10080216 (Texas)
Definition
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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