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Contact Information

MELISSA K BERRY, RN
208 GASLIGHT BLVD STE D
LUFKIN, TX75904-3166
 Phone: 936-465-9181
 Fax: 936-465-9787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for MELISSA K BERRY · (Female)

NPI Number 1588317085
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/03/2022
Last updated 02/03/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 686391
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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