Provider Demographics
NPI:1932847449
Name:DOCWHOLISTENS PLLC
Entity Type:Organization
Organization Name:DOCWHOLISTENS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY-ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA, FACOG
Authorized Official - Phone:512-988-9709
Mailing Address - Street 1:489 AGNES ST STE 112-268
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-2156
Mailing Address - Country:US
Mailing Address - Phone:512-988-9709
Mailing Address - Fax:
Practice Address - Street 1:235 ESTATE ROW
Practice Address - Street 2:
Practice Address - City:CEDAR CREEK
Practice Address - State:TX
Practice Address - Zip Code:78612-3902
Practice Address - Country:US
Practice Address - Phone:601-672-0639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare