| Tracy Byerly Ii Md Pa | |
|
205 W Windcrest St Ste 210 Fredericksburg TX 78624-4480 | |
| (830) 997-4000 | |
| (830) 997-2028 |
| Full Name | Tracy Byerly Ii Md Pa |
|---|---|
| Speciality | Otolaryngology |
| Location | 205 W Windcrest St Ste 210, Fredericksburg, Texas |
| Authorized Official Name and Position | Katie Durham (BILLING COORDINATOR) |
| Authorized Official Contact | 8309974000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Byerly Ii Md Pa 205 W Windcrest St Ste 210 Fredericksburg TX 78624-4480 Ph: (830) 997-4000 | Tracy Byerly Ii Md Pa 205 W Windcrest St Ste 210 Fredericksburg TX 78624-4480 Ph: (830) 997-4000 |
| NPI Number | 1689142127 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 07/15/2024 |
| Medicare PECOS PAC ID | 4082947999 |
|---|---|
| Medicare Enrollment ID | O20190607002553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689142127 | NPI | - | NPPES |
| 1427354208 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| Provider Name | Tracy Allen Byerly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427354208 PECOS PAC ID: 3274781018 Enrollment ID: I20120919000604 |
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