Provider Demographics
NPI:1861483760
Name:BYRNE, BRIGID (ANP)
Entity Type:Individual
Prefix:DR
First Name:BRIGID
Middle Name:
Last Name:BYRNE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 N BECKLEY AVE
Mailing Address - Street 2:5TH FL
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1201
Mailing Address - Country:US
Mailing Address - Phone:214-947-1837
Mailing Address - Fax:214-947-1851
Practice Address - Street 1:1441 N BECKLEY AVE
Practice Address - Street 2:5TH FL
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1201
Practice Address - Country:US
Practice Address - Phone:214-947-1837
Practice Address - Fax:214-947-1851
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254117363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F9031Medicare PIN
TX8A5152Medicare ID - Type Unspecified
TX8F9028Medicare PIN
TXP84115Medicare UPIN