Organization
TCHEFUNCTA EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BYRNE M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(214) 712-2448
(214) 712-2487
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445037
—
LA
Enumeration date
11/21/2006
Last updated
12/24/2013
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