Individual
DR. GREGORY KEITH BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 N 3RD ST, BELLAIRE, TX 77401-2804
(713) 527-8477
(713) 527-8487
Mailing address
PO BOX 3345, BELLAIRE, TX 77402-3345
(713) 527-8477
(713) 527-8487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H9498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10015013
AMERIGROUP
TX
05
—
1132722-01
—
TX
Enumeration date
12/19/2005
Last updated
04/07/2017
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