Individual
RAVEN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3400
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
05/31/2024
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