Byram, George Wayne
Byram, George Wayne is an individual health care provider with primary practice located at 1455 E Bert Kouns Industrial Loop # 210 , Shreveport LA 71105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Byram, George Wayne can be contacted via phone (187) 984-6233.Contact Information
Primary practice address
1455 E Bert Kouns Industrial Loop # 210
Shreveport LA 71105
Phone: (187) 984-6233
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD.308290 | Louisiana |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 24984 | Mississippi |
Profile Details
NPI number | 1992064026 |
---|---|
LBN Legal business name | Byram, George Wayne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2012 |
Last updated | Jul 18th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992064026 | NPPES |
Louisiana | MEDICAID | 2474294 |
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