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NPI Code Detail

MEDICARE: DR. GRANT L BURTON JR. MD

MEDICARE: DR. GRANT L BURTON JR. MD
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianP4290TX
22080P0203XPediatric Critical Care Medicine Physician44019CO
3208M00000XHospitalist PhysicianP4290TX
42080P0203XPediatric Critical Care Medicine PhysicianP4290TX

General Provider Information

NPI Number : 1255416905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRANT L BURTON JR. MD
Provider Business Mailing Address
First Line : 7777 FOREST LN STE C300J
Second Line :
City : DALLAS
State : TX
Zip : 75230-2604
Country : US
Telephone Number : 972-566-2043
Fax Number : 972-566-7437
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE C300J
Second Line :
City : DALLAS
State : TX
Zip : 75230-2604
Country : US
Telephone Number : 972-566-2043
Fax Number : 972-566-7437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 05/15/2024

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Directions to “ DR. GRANT L BURTON JR. MD” Practice Location

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