Organization
TRACY BYERLY II MD PA
Active
Parent organization
TRACY BYERLY II, MD PA
Other names
Sinus ENT Center of Texas
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRACY BYERLY II, MD PA
Authorized official
KATIE DURHAM (BILLING COORDINATOR)
(830) 997-4000
Entity
Organization
Contact information
Practice address
205 W WINDCREST ST STE 210, FREDERICKSBURG, TX 78624-4480
(830) 997-4000
(830) 997-2028
Mailing address
205 W WINDCREST ST STE 210, FREDERICKSBURG, TX 78624-4480
(830) 997-4000
(830) 997-2028
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427354208
BCBS
TX
Enumeration date
11/02/2018
Last updated
07/15/2024
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