MEDICARE: DANTE R BURGOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	H8595	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	H8595	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427055391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANTE R BURGOS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2022
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-0035
Country	:	US
Telephone Number	:	972-712-0591
Fax Number	:	972-421-1527

Provider Business Practice Location Address
First Line	:	4324 MAPLESHADE LN STE 158
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-0050
Country	:	US
Telephone Number	:	903-274-7553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	01/20/2026

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