Provider Demographics
NPI:1740250679
Name:BYRNES, JOSEPH PETER MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH PETER
Middle Name:MICHAEL
Last Name:BYRNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9931 HYATT RESORT DR
Mailing Address - Street 2:#223
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4164
Mailing Address - Country:US
Mailing Address - Phone:210-681-2178
Mailing Address - Fax:
Practice Address - Street 1:59MDW/MCOA ANESTHESIOLOGY
Practice Address - Street 2:2200 BERQUIST DRIVE, SUITE 1
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78236-5300
Practice Address - Country:US
Practice Address - Phone:210-292-7325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.07169R207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200517501Medicaid
LA1561517Medicaid
LA1561517Medicaid