Individual
BYRON CADWALLADER FREEMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 DALLAS ST, EMERGENCY ROOM, SAN ANTONIO, TX 78205-1201
(210) 614-0180
(210) 615-7170
Mailing address
PO BOX 12740, WESTMINSTER, CA 92685-2740
(562) 809-3527
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H1961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097844701
—
TX
05
—
097844704
—
TX
01
—
8N2593
BCBS
TX
Enumeration date
10/24/2005
Last updated
12/07/2009
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