Individual
MR. CODY C BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
724 W MAIN ST, SUITE 180, LEWISVILLE, TX 75067-3514
(972) 434-6024
(972) 434-2784
Mailing address
4520 CATTAIL LN, DENTON, TX 76208-6826
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1149657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T1212
BLUE CROSS PROVIDER NUMBE
TX
Enumeration date
08/10/2006
Last updated
07/08/2007
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