Individual
MIKE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
4350 ELDERBERRY ST, FORNEY, TX 75126-0709
(972) 680-2993
Mailing address
4350 ELDERBERRY ST, FORNEY, TX 75126-0709
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017463
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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