Organization
SOPHIA L BURNS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA L BURNS MD (OWNER)
(409) 212-9117
Entity
Organization
Contact information
Practice address
740 HOSPITAL DR, SUITE 250, BEAUMONT, TX 77701-4664
(409) 212-9117
(409) 212-1003
Mailing address
740 HOSPITAL DR, SUITE 250, BEAUMONT, TX 77701-4664
(409) 212-9117
(409) 212-1003
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J1449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086SP
BCBS
TX
05
—
206408102
—
TX
Enumeration date
08/04/2009
Last updated
10/31/2012
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