MEDICARE: ALICIA DANIELLE BURNS DC

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	111N00000X	Chiropractor	14076	TX

General Provider Information

NPI Number	:	1770108326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA DANIELLE BURNS DC

Provider Business Mailing Address
First Line	:	9210 BLUE CRAB DR
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-9232
Country	:	US
Telephone Number	:	512-757-7126
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 NASA PKWY STE 324
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3366
Country	:	US
Telephone Number	:	832-390-0089
Fax Number	:

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

Provider Enumeration Date	:	06/09/2020
Last Update Date	:	06/09/2020

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Directions to “ ALICIA DANIELLE BURNS DC” Practice Location

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