Individual
MARK C. BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12221 N. MOPAC EXPRESSWAY, AUSTIN, TX 78758
(512) 901-1000
Mailing address
2310 RIDGEVIEW ST, AUSTIN, TX 78704-2043
(512) 447-4909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H1475
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
H1475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136601506
—
TX
05
—
136601510
—
TX
Enumeration date
06/12/2006
Last updated
05/12/2010
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