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Organization
BALCONES HEALTHCARE ASSOCIATES, PA
Active
Organization
BALCONES HEALTHCARE ASSOCIATES, PA
Active
Other names
Highland Lakes Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN G. BURGEST M.D. (PRESIDENT)
(512) 868-4352
Entity
Organization
Contact information
Practice address
200 COUNTY ROAD 340A, BUILDING 1, SUITE 4, BURNET, TX 78611-4537
(512) 868-4352
(512) 868-4354
Mailing address
PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
(512) 868-4352
(512) 868-4354
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
L9637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2128704-01
—
TX
Enumeration date
06/23/2009
Last updated
01/25/2011
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