Individual
ERIC BURD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9516 S SHIELDS BLVD, APT 8, MOORE, OK 73160-3100
(830) 460-1200
Mailing address
9516 S SHIELDS BLVD, APT 8, MOORE, OK 73160-3100
(830) 460-1200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
11/07/2013
Last updated
11/07/2013
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