Organization
CAPAHA PARK INPATIENT SERVICES, LLC
Active
Organization
CAPAHA PARK INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY JAMES BYRNE MD (OWNER)
(214) 712-2000
Entity
Organization
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
(214) 712-2444
Mailing address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
(214) 712-2000
(214) 712-2487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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