# EXCEL PERFORMANCE MEDICAL CENTER

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

## Provider details

- **NPI number:** 1902061278
- **Authorized official:** DR. CHARLOTTE BURNS O.D., M.S., J.D., (PRESIDENT)
- **Authorized official phone:** (972) 996-0906

## Contact information

- **Practice address:** 5550 LBJ FWY, SUITE 360, DALLAS, TX 75240-6217
- **Practice address phone:** (972) 996-0906
- **Practice address fax:** (972) 996-0905
- **Mailing address:** 5550 LBJ FWY, SUITE 360, DALLAS, TX 75240-6217
- **Mailing address phone:** (972) 996-0906
- **Mailing address fax:** (972) 996-0905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | C8197 | TX | Yes |

## Other

- **Enumeration date:** 07/25/2008
- **Last updated:** 07/25/2008