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NPI Code Detail

MEDICARE: DR. JOSEPH BENJAMIN BERRO M.D.

MEDICARE: DR. JOSEPH BENJAMIN BERRO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianN2944TX
2207P00000XEmergency Medicine PhysicianN2944TX

General Provider Information

NPI Number : 1427257179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH BENJAMIN BERRO M.D.
Provider Business Mailing Address
First Line : 10828 DESERT WILLOW LOOP
Second Line :
City : AUSTIN
State : TX
Zip : 78748-4027
Country : US
Telephone Number : 757-575-3227
Fax Number :
Provider Business Practice Location Address
First Line : 900 WEST AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2210
Country : US
Telephone Number : 512-753-3516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2007
Last Update Date : 08/15/2024

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Directions to “ DR. JOSEPH BENJAMIN BERRO M.D.” Practice Location

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