Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | E8370 | TX |
N | 111NI0900X | Internist | E8370 | TX |
Y | 207U00000X | Nuclear Medicine Specialist | E8370 | TX |
NPI | 1528009636 |
---|---|
Provider Name | Bill Frank Byrd |
First Address | Amarillo, TX 79121-1947 |
Second Address | Amarillo, TX 79121-1947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 07/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127997806 | (05) | TX |
347956ZGE1 | (02) | TX |