Individual
ANDREA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1432 MIMS ST, FORT WORTH, TX 76112-3454
(817) 896-4882
Mailing address
1432 MIMS ST, FORT WORTH, TX 76112-3454
(817) 896-4882
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
13-299
TX
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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