Individual
CARLA WAYNETTE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, VACCINATOR
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
956429
TX
261Q00000X
Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
01/04/2021
Last updated
05/07/2021
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