MEDICARE: CINDY BURGHARDT PA-C

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	363A00000X	Physician Assistant	PA02997	TX

General Provider Information

NPI Number	:	1902873763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY BURGHARDT PA-C

Provider Business Mailing Address
First Line	:	16620 N US HIGHWAY 281
Second Line	:	SUITE 300
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-2327
Country	:	US
Telephone Number	:	210-614-1231
Fax Number	:	210-616-0704

Provider Business Practice Location Address
First Line	:	305 N FRIO ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3034
Country	:	US
Telephone Number	:	210-614-1231
Fax Number	:	210-616-0704

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	08/14/2008

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Directions to “ CINDY BURGHARDT PA-C” Practice Location

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