NPI | 1861475055 |
---|---|
Former Name | MEREDITH S BYRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03961) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA03961) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2022-07-21 |