Phillip L. Berry
Pediatric Nephrologist
1301 Barbara Jordan Blvd Ste 200
Austin
, Texas 78723-3078
Phillip L. Berry
Pediatric Nephrologist
1301 Barbara Jordan Blvd Ste 200
Austin
, Texas 78723-3078
(512) 628-1861
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Phillip L. Berry
- 1301 Barbara Jordan Blvd Ste 200
- Austin, TX
- Zip : 78723-3078
- Fax : (512) 628-1861
- Phone : (512) 628-1860
Second Address
- Phillip L. Berry
- 1301 Barbara Jordan Blvd Ste 200
- Austin, TX
- Zip : 78723-3078
- Fax : (512) 628-1861
- Phone : (512) 628-1860
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | E2466 | TX |
National Provider Identifier
| NPI | 1568428571 |
|---|---|
| Provider Name | Phillip L. Berry |
| First Address | Austin, TX 78723-3078 |
| Second Address | Austin, TX 78723-3078 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 05/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 134858304 | (05) | TX |
| C13419 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.