# BURCHWOOD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730593955
- **Authorized official:** DR. STACIE BURCH DDS (DENTIST)
- **Authorized official phone:** (832) 780-0901

## Contact information

- **Practice address:** 8920 SPENCER HWY STE D, LA PORTE, TX 77571-4195
- **Practice address phone:** (832) 780-0901
- **Practice address fax:** (832) 780-0903
- **Mailing address:** 8920 SPENCER HWY STE D, LA PORTE, TX 77571-4195
- **Mailing address phone:** (832) 780-0901
- **Mailing address fax:** (832) 780-0903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 23093 | TX | Yes |

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 02/16/2016