Organization
RANDALL BURT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL J BURT M.D. (PRESIDENT)
(972) 981-7777
Entity
Organization
Contact information
Practice address
6124 W PARKER RD, STE 134, PLANO, TX 75093-8122
(972) 981-7777
(972) 981-7750
Mailing address
6124 W PARKER RD, STE 134, PLANO, TX 75093-8122
(972) 981-7777
(972) 981-7750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L3933
TX
Other
Enumeration date
03/07/2007
Last updated
04/17/2014
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