Provider Demographics
NPI:1043456122
Name:BYRD, ANNETTE
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:
Last Name:BYRD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2862
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-2862
Mailing Address - Country:US
Mailing Address - Phone:713-660-6200
Mailing Address - Fax:713-660-7755
Practice Address - Street 1:5419 CLAREWOOD DR
Practice Address - Street 2:STE. A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5307
Practice Address - Country:US
Practice Address - Phone:713-660-6200
Practice Address - Fax:713-660-7755
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health