Provider Demographics
NPI:1508029521
Name:MYERS, BYRON LEE (NP)
Entity Type:Individual
Prefix:MR
First Name:BYRON
Middle Name:LEE
Last Name:MYERS
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Gender:M
Credentials:NP
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Mailing Address - Street 1:5508 PARKCREST DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4905
Mailing Address - Country:US
Mailing Address - Phone:512-420-9900
Mailing Address - Fax:512-420-9944
Practice Address - Street 1:5508 PARKCREST DR
Practice Address - Street 2:SUITE 310
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4905
Practice Address - Country:US
Practice Address - Phone:512-420-9900
Practice Address - Fax:512-420-9944
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2012-05-23
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Provider Licenses
StateLicense IDTaxonomies
TX583751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP93637Medicare UPIN