MEDICARE: DEBRA A. BURBACH 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	U4399	TX

General Provider Information

NPI Number	:	1821055070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA A. BURBACH M.D.

Provider Business Mailing Address
First Line	:	6210 E HWY 290
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1142
Country	:	US
Telephone Number	:	512-483-9596
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	8901 VERTEX BLVD STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78747-2792
Country	:	US
Telephone Number	:	512-346-6611
Fax Number	:	512-406-6267

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

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	09/22/2024

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