MEDICARE: DR. JAMES MICHAEL BURGERT DNAP, CRNA

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	367500000X	Certified Registered Nurse Anesthetist	609498	TX

General Provider Information

NPI Number	:	1558352526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MICHAEL BURGERT DNAP, CRNA

Provider Business Mailing Address
First Line	:	1416 CANYON EDGE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-2621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 CANYON EDGE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-2621
Country	:	US
Telephone Number	:	210-362-7855
Fax Number	:

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	06/29/2021

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