HASKELL RAY DERRYBERRY

GRANBURY, TX
NPI1093755704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  582138)
Enumeration Date2006-06-08
Last Update Date2008-06-19
Business Address
-- HASKELL RAY DERRYBERRY FNP
1322 PALUXY RD SUITE #2
GRANBURY, TX 76048-5603
Phone number: 817-579-1642
Mailing Address
-- HASKELL RAY DERRYBERRY FNP
1322 PALUXY RD SUITE 2
GRANBURY, TX 76048-5603
Phone number: 817-579-1642
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