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Individual
DR. JOHN MICHAEL BURBIDGE
Active
Individual
DR. JOHN MICHAEL BURBIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155492501
—
TX
05
—
155492505
—
TX
01
—
8AV860
BCBS
TX
01
—
8K4522
MEDICARE
TX
01
—
P00603036
MEDICARE RAILROAD
TX
Enumeration date
12/22/2005
Last updated
01/05/2010
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