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NPI Code Detail

MEDICARE: MADISON WREN BYRNE

MEDICARE: MADISON WREN BYRNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist121476TX

General Provider Information

NPI Number : 1699546838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON WREN BYRNE
Provider Business Mailing Address
First Line : 3051 IRA E WOODS AVE
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-3817
Country : US
Telephone Number : 979-436-1168
Fax Number :
Provider Business Practice Location Address
First Line : 3051 IRA E WOODS AVE
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-3817
Country : US
Telephone Number : 817-305-4945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2024
Last Update Date : 04/15/2026

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Directions to “ MADISON WREN BYRNE ” Practice Location

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