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Individual
SCOTT ALAN BURLISON
Active
Individual
SCOTT ALAN BURLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M7884
TX
208VP0000X
Pain Medicine Physician
Primary
M7884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1953411601
—
TX
05
—
195341602
—
TX
01
—
8U8518
BCBS OF TEXAS
TX
01
—
TIN PLUS 042
TRICARE
TX
Enumeration date
06/14/2007
Last updated
10/18/2022
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