MEDICARE: IRIS INPATIENT SERVICES

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
1	207R00000X	Internal Medicine Physician	N/A

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952313967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRIS INPATIENT SERVICES

Provider Business Mailing Address
First Line	:	1717 MAIN ST
Second Line	:	SUITE 5200
City	:	DALLAS
State	:	TX
Zip	:	75201-4612
Country	:	US
Telephone Number	:	214-712-2403
Fax Number	:

Provider Business Practice Location Address
First Line	:	632 MORRISON SPRINGS RD
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37415-3402
Country	:	US
Telephone Number	:	423-778-5900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GREGORY BYRNE
Credential	:	MD
Telephone Number	:	214-712-2403

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	04/20/2008

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Directions to “IRIS INPATIENT SERVICES ” Practice Location

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