Individual
CHARLES E BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W. 4TH STREET, ODESSA, TX 79760-5001
(432) 640-4000
(432) 640-1337
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2408
(432) 640-4606
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
K6541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3065141902
—
TX
Enumeration date
10/17/2006
Last updated
10/02/2017
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