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1861574147

NPI Code Detail

MEDICARE: DR. JOHN THOMAS BURNS MD

MEDICARE: DR. JOHN THOMAS BURNS 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
1	207XS0106X	Orthopaedic Hand Surgery Physician	D4941	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1358198	OTHER	TX	PHCS PIN
2	2915731	OTHER	TX	CIGNA PIN
3	3848	OTHER	TX	MHHNP PIN
4	6730246	OTHER	TX	RNPO PIN
5	8U6890	OTHER	TX	BCBS PIN
6	4010217	OTHER	TX	AETNA PIN

General Provider Information

NPI Number	:	1861574147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN THOMAS BURNS MD

Provider Business Mailing Address
First Line	:	PO BOX 2206
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77574-2206
Country	:	US
Telephone Number	:	713-622-8382
Fax Number	:	281-334-6853

Provider Business Practice Location Address
First Line	:	14903 EL CAMINO REAL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2603
Country	:	US
Telephone Number	:	713-622-8382
Fax Number	:	281-334-6853

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. JOHN THOMAS BURNS MD” Practice Location

Language	Start Address	Practice Location

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