Organization
BAXLEY EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGROY BYRNE M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
5637 MARINE PKWY, NEW PORT RICHEY, FL 34652-4316
(727) 845-9115
(727) 834-5619
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21865
BLUE SHIELD
FL
05
—
254688400
—
AL
Enumeration date
05/09/2006
Last updated
06/18/2014
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