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NPI Code Detail

MEDICARE: DR. COLIN BURNLEY D.C.

MEDICARE: DR. COLIN BURNLEY D.C.
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
1111N00000XChiropractor11589TX

General Provider Information

NPI Number : 1114224995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COLIN BURNLEY D.C.
Provider Business Mailing Address
First Line : 2300 HIGHLAND VILLAGE RD STE 210
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-7191
Country : US
Telephone Number : 214-264-6072
Fax Number : 214-390-9950
Provider Business Practice Location Address
First Line : 2300 HIGHLAND VILLAGE RD STE 210
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-7191
Country : US
Telephone Number : 214-264-6072
Fax Number : 214-390-9950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2011
Last Update Date : 11/01/2019

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