Individual
BENJAMIN FRANKLIN BURUM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10701 CORPORATE DR STE 340-111, STAFFORD, TX 77477-4096
(832) 563-8413
Mailing address
10701 CORPORATE DR STE 340-111, STAFFORD, TX 77477-4096
(832) 563-8413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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