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Individual

HOWARD RAYMOND BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0548
(214) 857-0549
Mailing address
1500 HAMPTON DR, MANSFIELD, TX 76063-7915
(214) 857-0551
(214) 857-0549

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Enumeration date
01/22/2009
Last updated
01/22/2009
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