Healthcare Provider Details

I. General information

NPI: 1104840511
Provider Name (Legal Business Name): JOYCE WALKER BURNS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8026 FLOYD CURL DR 2ND FLOOR
SAN ANTONIO TX
78229-3915
US

IV. Provider business mailing address

7711 LOUIS PASTEUR DR STE 707
SAN ANTONIO TX
78229-3422
US

V. Phone/Fax

Practice location:
  • Phone: 210-575-4837
  • Fax: 210-575-8506
Mailing address:
  • Phone: 210-575-8500
  • Fax: 210-575-8506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number645237
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: