Organization
TYLER EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BYRNE M.D. (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
200 TYLER STREET, WEST MEMPHIS, AR 72307
(870) 735-1500
(214) 712-2487
Mailing address
PO BOX 42027, PHILADELPHIA, PA 19101-2027
(800) 355-3818
(214) 712-2487
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C053
BLUE SHIELD
AR
Enumeration date
06/15/2006
Last updated
04/20/2008
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