Organization
NEUROTEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GORDON BURNETT M.D. (PARTNER)
(443) 955-9803
Entity
Organization
Contact information
Practice address
1015 E 32ND ST, SUITE 411, AUSTIN, TX 78705-2707
(512) 474-1114
(512) 474-1118
Mailing address
1015 E 32ND ST, SUITE 411, AUSTIN, TX 78705-2707
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114913605
INDIVIDUAL NPI
—
01
—
1427044924
INDIVIDUAL NPI
—
01
—
1932195427
INDIVIDUAL NPI
—
Enumeration date
09/14/2007
Last updated
12/20/2011
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