MEDICARE: DR. JOHN BYRNE M.D.

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	207V00000X	Obstetrics & Gynecology Physician	R2295	TX
2	207VM0101X	Maternal & Fetal Medicine Physician	R2295	TX

General Provider Information

NPI Number	:	1922447648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN BYRNE M.D.

Provider Business Mailing Address
First Line	:	25723 OLD FREDERICKSBURG RD
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78015-6605
Country	:	US
Telephone Number	:	210-450-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8455 CRESTWAY RD STE 119
Second Line	:
City	:	CONVERSE
State	:	TX
Zip	:	78109-3528
Country	:	US
Telephone Number	:	210-450-9000
Fax Number	:

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

Provider Enumeration Date	:	06/15/2013
Last Update Date	:	09/12/2024

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Directions to “ DR. JOHN BYRNE M.D.” Practice Location

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