Individual
MRS. SHELBY BYROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1311 GENERAL CAVAZOS BLVD STE 305, KINGSVILLE, TX 78363-7123
(361) 592-2223
(361) 592-1967
Mailing address
1311 GENERAL CAVAZOS BLVD STE 305, KINGSVILLE, TX 78363-7123
(361) 592-2223
(361) 592-1967
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP133460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1L5022
MEDICARE
TX
05
—
390325402
—
TX
01
—
P02601730
MCRR
TX
05
—
PENDING
—
TX
Enumeration date
03/08/2017
Last updated
04/13/2021
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