MEDICARE: CROWN OF THE VALLEY EMERGENCY PHYSICIANS PLLC

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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1760822571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROWN OF THE VALLEY EMERGENCY PHYSICIANS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 98764
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-0764
Country	:	US
Telephone Number	:	800-355-0808
Fax Number	:	610-834-2862

Provider Business Practice Location Address
First Line	:	6002 FAIRMONT PKWY
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-4041
Country	:	US
Telephone Number	:	713-359-2100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT, TX-I MEDICAL SERVICES PA
Name	:	GREGORY J BYRNE
Credential	:	M.D.
Telephone Number	:	800-507-8874

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	06/26/2013

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