Healthcare Provider Details

I. General information

NPI: 1215927017
Provider Name (Legal Business Name): STEPHEN W BURGHER SR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8230 WALNUT HILL LN STE 620
DALLAS TX
75231-4407
US

IV. Provider business mailing address

8230 WALNUT HILL LN STE 620
DALLAS TX
75231-4407
US

V. Phone/Fax

Practice location:
  • Phone: 214-373-3475
  • Fax: 214-373-3476
Mailing address:
  • Phone: 214-373-3475
  • Fax: 214-373-3476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberBH9828
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: