Individual
MRS. DALAS BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
14100 SAN PEDRO AVE STE 608, SAN ANTONIO, TX 78232-4363
(210) 543-7334
Mailing address
8706 ILIAD, UNIVERSAL CITY, TX 78148-2804
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
119255
TX
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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