Active NPI
Monterrey Village Inpatient Services PLLC
- Hospitalist Physician
- Live Oak, TX
National Provider Identifier
1184146334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- MONTERREY VILLAGE INPATIENT SERVICES PLLC
- Practice address
- 12412 Judson Rd
Live Oak, TX 78233-3255 - Phone
- (469) 401-2386
- NPI assigned
- Jul 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Byrne, MD
- Title
- Officer
- Phone
- (954) 838-2371
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
12412 Judson Rd
Live Oak, TX 78233-3255
Mailing address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (954) 838-2371
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Palm Beach Gardens, FL
- NPI 1417063439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568073600000",
"number": "1184146334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401374",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12412 JUDSON RD",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333255",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTERREY VILLAGE INPATIENT SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-10",
"last_updated": "2019-09-10",
"status": "A",
"authorized_official_last_name": "BYRNE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "954-838-2371",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.