MEDICARE: DR. TODD MICHAEL BURTON M.D.

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
1	208000000X	Pediatrics Physician	K4643	TX

General Provider Information

NPI Number	:	1326047671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD MICHAEL BURTON M.D.

Provider Business Mailing Address
First Line	:	2217 W ELDORADO PKWY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4358
Country	:	US
Telephone Number	:	972-542-1444
Fax Number	:	972-542-6967

Provider Business Practice Location Address
First Line	:	2217 W ELDORADO PKWY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4358
Country	:	US
Telephone Number	:	972-542-1444
Fax Number	:	972-542-6967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/21/2009

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