MEDICARE: MRS. DANA MARIE HOWARD-BYRD

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	171W00000X	Contractor	32019670168	TX

General Provider Information

NPI Number	:	1548288541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA MARIE HOWARD-BYRD

Provider Business Mailing Address
First Line	:	1351 GREENS PKWY
Second Line	:	46
City	:	HOUSTON
State	:	TX
Zip	:	77067-4137
Country	:	US
Telephone Number	:	281-874-9161
Fax Number	:	281-874-9161

Provider Business Practice Location Address
First Line	:	1351 GREENS PKWY
Second Line	:	46
City	:	HOUSTON
State	:	TX
Zip	:	77067-4137
Country	:	US
Telephone Number	:	281-874-9161
Fax Number	:	281-874-9161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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