Provider Demographics
NPI:1114964426
Name:BERRY, MARCY L (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:L
Last Name:BERRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2109 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4189
Mailing Address - Country:US
Mailing Address - Phone:972-208-8668
Mailing Address - Fax:972-208-3186
Practice Address - Street 1:2109 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4189
Practice Address - Country:US
Practice Address - Phone:972-208-8668
Practice Address - Fax:972-208-3186
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK80052080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine