Provider Demographics
NPI:1962949131
Name:BYRD, JADA A (DNP CRNA)
Entity type:Individual
Prefix:DR
First Name:JADA
Middle Name:A
Last Name:BYRD
Suffix:
Gender:F
Credentials:DNP CRNA
Other - Prefix:DR
Other - First Name:JADA
Other - Middle Name:A
Other - Last Name:METOYER-FOLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP CRNA
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-2109
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:
Practice Address - Street 1:1500 CITYWEST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2549
Practice Address - Country:US
Practice Address - Phone:972-233-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN111216163W00000X
CA673451163W00000X
TX697695163W00000X
TXAP134836367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse