Individual
DR. LAURA BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2820 N BELT LINE RD STE 100, SUNNYVALE, TX 75182-9388
(972) 288-6189
(972) 698-7641
Mailing address
2820 N BELT LINE RD STE 100, SUNNYVALE, TX 75182-9388
(972) 288-6189
(972) 698-7641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L5262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010562155
—
TX
05
—
165082201
—
TX
Enumeration date
01/27/2007
Last updated
03/22/2018
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