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Individual
DANIEL BRADLEY BURDIN
Active
Individual
DANIEL BRADLEY BURDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
DC6933
TX
363LF0000X
Family Nurse Practitioner
Primary
781475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
644411ZGVZ
MEDICARE
TX
01
—
8A7046
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/04/2006
Last updated
04/24/2018
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