Individual
BURTON ROBERT WILSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7330 SAN PEDRO AVE STE 800, SAN ANTONIO, TX 78216-6268
(210) 875-9456
Mailing address
1010 E DREXEL AVE, SAN ANTONIO, TX 78210-3131
(210) 421-8585
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212679
TX
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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