Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | AP141567 | TX |
Y | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | AP141567 | TX |
NPI | 1023668860 |
---|---|
Provider Name | Rebecca Byars |
First Address | Giddings, TX 78942-6164 |
Second Address | Austin, TX 78723-3079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2019 |
Last Update Date | 13/09/2019 |