Organization
BURGEST CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN GREGORY BURGEST MD (OWNER/PHYSICIAN)
(512) 970-4941
Entity
Organization
Contact information
Practice address
840 PROSPECTOR TRL, HARKER HEIGHTS, TX 76548-2700
(254) 213-4322
(254) 213-4337
Mailing address
PO BOX 268866, OKLAHOMA CITY, OK 73126-8866
(254) 213-4322
(254) 213-4337
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
L9637
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
L9637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009250-01
—
TX
Enumeration date
09/29/2006
Last updated
04/01/2016
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