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NPI Code Detail

MEDICARE: DR. MARK BYARLAY

MEDICARE:  DR. MARK  BYARLAY
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
1207Q00000XFamily Medicine PhysicianM1553TX

General Provider Information

NPI Number : 1164483830
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK BYARLAY
Provider Business Mailing Address
First Line : 7601 GLENVIEW DR
Second Line :
City : RICHLAND HILLS
State : TX
Zip : 76180-8331
Country : US
Telephone Number : 817-274-2578
Fax Number :
Provider Business Practice Location Address
First Line : 7601 GLENVIEW DR
Second Line :
City : RICHLAND HILLS
State : TX
Zip : 76180-8331
Country : US
Telephone Number : 817-274-2578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 07/18/2007

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Directions to “ DR. MARK BYARLAY ” Practice Location

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