Individual
GEOFFREY W BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12221 MERIT DRIVE, SUITE 1500, DALLAS, TX 75251-2202
(214) 217-1911
(214) 217-1912
Mailing address
12221 MERIT DRIVE, SUITE 1500, DALLAS, TX 75251-2202
(214) 217-1911
(214) 217-1912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q2645
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2011
Last updated
03/04/2015
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