Provider Demographics
NPI:1356872584
Name:BYRON, VIRGINIA FAULKNER (MD)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:FAULKNER
Last Name:BYRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 S I 10 SERVICE RD W
Mailing Address - Street 2:SUITE 120
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1234
Mailing Address - Country:US
Mailing Address - Phone:504-988-5458
Mailing Address - Fax:504-988-6808
Practice Address - Street 1:4740 S I 10 SERVICE RD W
Practice Address - Street 2:SUITE 120
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1234
Practice Address - Country:US
Practice Address - Phone:504-780-8282
Practice Address - Fax:504-988-6808
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program