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Individual

DALE D BURLESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4708 ALLIANCE BLVD, SUITE 770, PLANO, TX 75093-5340
(972) 526-0910
(972) 526-0913
Mailing address
16980 DALLAS PKWY STE 200, DALLAS, TX 75248-1974
(214) 343-8565
(214) 342-3054

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
H9830
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120590805
TX
05
120590806
TX
Enumeration date
07/05/2006
Last updated
05/12/2021
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