Healthcare Provider Details

I. General information

NPI: 1720230238
Provider Name (Legal Business Name): BURMAN AND BURMAN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 10/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15035 EAST FWY SUITE D
CHANNELVIEW TX
77530-4151
US

IV. Provider business mailing address

15035 EAST FWY SUITE D
CHANNELVIEW TX
77530-4151
US

V. Phone/Fax

Practice location:
  • Phone: 281-457-0477
  • Fax: 281-452-4953
Mailing address:
  • Phone: 281-457-0477
  • Fax: 281-452-4953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberJ1204
License Number StateTX

VIII. Authorized Official

Name: DAVID BURMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 281-457-0477