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NPI Code Detail

MEDICARE: DR. NANCY A BURT M.D.

MEDICARE:  DR. NANCY A BURT  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
12084N0400XNeurology PhysicianK8037TX
22084N0400XNeurology Physician2010016624MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407851223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY A BURT M.D.
Provider Business Mailing Address
First Line : 11212 STATE HIGHWAY 151
Second Line : PLAZA 1, STE 200
City : SAN ANTONIO
State : TX
Zip : 78251-4498
Country : US
Telephone Number : 210-520-7160
Fax Number : 210-520-7190
Provider Business Practice Location Address
First Line : 11212 STATE HIGHWAY 151
Second Line : PLAZA 1, STE 200
City : SAN ANTONIO
State : TX
Zip : 78251-4498
Country : US
Telephone Number : 210-520-7160
Fax Number : 210-520-7190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 02/29/2016

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Directions to “ DR. NANCY A BURT M.D.” Practice Location

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