MEDICARE: MR. JAMES FRANCIS BYRNE CRNA

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	367500000X	Certified Registered Nurse Anesthetist	670034	TX

General Provider Information

NPI Number	:	1609860790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES FRANCIS BYRNE CRNA

Provider Business Mailing Address
First Line	:	205 BLUE HOLE LN
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-9202
Country	:	US
Telephone Number	:	512-847-7518
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 BLUE HOLE LN
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-9202
Country	:	US
Telephone Number	:	512-847-7518
Fax Number	:

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	09/28/2011

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