| Marcus Byrd Hospital Physician Pa | |
|
1000 S Beckham Ave Tyler TX 75701-1908 | |
| (903) 253-3325 | |
| (903) 561-8396 |
| Full Name | Marcus Byrd Hospital Physician Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 S Beckham Ave, Tyler, Texas |
| Authorized Official Name and Position | Marcus A Byrd (OWNER) |
| Authorized Official Contact | 9032533325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus Byrd Hospital Physician Pa 18246 Spruce Hill Dr Flint TX 75762-3612 Ph: (903) 253-3325 | Marcus Byrd Hospital Physician Pa 1000 S Beckham Ave Tyler TX 75701-1908 Ph: (903) 253-3325 |
| NPI Number | 1356693865 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/27/2015 |
| Medicare PECOS PAC ID | 9133365364 |
|---|---|
| Medicare Enrollment ID | O20130413000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356693865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcus Alan Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518930304 PECOS PAC ID: 6800709577 Enrollment ID: I20031110000002 |
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