Healthcare Provider Details

I. General information

NPI: 1386747467
Provider Name (Legal Business Name): MARGARET J. BYERS, DO, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 S TRIVIZ DR STE H
LAS CRUCES NM
88001-0601
US

IV. Provider business mailing address

2100 S TRIVIZ DR STE H
LAS CRUCES NM
88001-0601
US

V. Phone/Fax

Practice location:
  • Phone: 505-522-9793
  • Fax: 505-532-9019
Mailing address:
  • Phone: 505-522-9793
  • Fax: 505-532-9019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number1230-03
License Number StateNM

VIII. Authorized Official

Name: MARGARET J BYERS
Title or Position: PRESIDENT
Credential: DO
Phone: 505-522-9793