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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