Provider Demographics
NPI:1962474577
Name:BYXBE, DONNA PARVIN (LCSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:PARVIN
Last Name:BYXBE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 FLETCHER DR
Mailing Address - Street 2:STE C
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-3058
Mailing Address - Country:US
Mailing Address - Phone:830-422-2997
Mailing Address - Fax:830-422-2998
Practice Address - Street 1:104 FLETCHER DR
Practice Address - Street 2:STE C
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3058
Practice Address - Country:US
Practice Address - Phone:830-422-2997
Practice Address - Fax:830-422-2998
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2017-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX404571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86546QOtherBLUE CROSS BLUE SHIELD