Individual
STACIE J BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
3091 SPRING BRANCH DR, LITTLE ELM, TX 75068-2990
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
140186
TX
246ZC0007X
Surgical Assistant
Primary
SA00676
TX
Other
Enumeration date
04/10/2013
Last updated
06/23/2021
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