MEDICARE: MEI HUA-BURNS

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	101YP2500X	Professional Counselor	12280	NC
2	101YP2500X	Professional Counselor	81821	TX
3	101YP2500X	Professional Counselor	10206	CA

General Provider Information

NPI Number	:	1952952327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEI HUA-BURNS

Provider Business Mailing Address
First Line	:	3980 ALVORD DR
Second Line	:
City	:	FORT IRWIN
State	:	CA
Zip	:	92310-1514
Country	:	US
Telephone Number	:	254-275-6559
Fax Number	:

Provider Business Practice Location Address
First Line	:	3980 ALVORD DR
Second Line	:
City	:	FORT IRWIN
State	:	CA
Zip	:	92310-1514
Country	:	US
Telephone Number	:	254-275-6559
Fax Number	:

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

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	03/08/2024

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Directions to “ MEI HUA-BURNS ” Practice Location

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