Healthcare Provider Details

I. General information

NPI: 1164326385
Provider Name (Legal Business Name): DEVIN DANIEL BYRNE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 SPICEWOOD SPRINGS RD BLDG III
AUSTIN TX
78759-8598
US

IV. Provider business mailing address

4601 SPICEWOOD SPRINGS RD BLDG III
AUSTIN TX
78759-8598
US

V. Phone/Fax

Practice location:
  • Phone: 737-252-3990
  • Fax:
Mailing address:
  • Phone: 737-252-3990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119414
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: