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NPI Code Detail

MEDICARE: HAYLEY DOLAN BURATOWSKI PA

MEDICARE:   HAYLEY DOLAN BURATOWSKI  PA
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1093475402
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY DOLAN BURATOWSKI PA
Provider Business Mailing Address
First Line : 21843 RUBY RUN
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78259-2763
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12730 W IH 10 STE 306
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-1004
Country : US
Telephone Number : 210-877-0772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2021
Last Update Date : 04/05/2022

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Directions to “ HAYLEY DOLAN BURATOWSKI PA” Practice Location

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