Individual
DR. CLINT FIELD BURRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 S KING ST, SEGUIN, TX 78155-5838
(830) 372-2791
(830) 386-0241
Mailing address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 401-7558
(830) 401-7640
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
Q3858
TX
207VX0000X
Obstetrics Physician
Q3858
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349294401
—
TX
Enumeration date
06/05/2011
Last updated
11/13/2024
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