Individual
BURTON J ZUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5658 WESCREEK DR STE 400, STE 400, FORT WORTH, TX 76133
(972) 424-9212
(972) 509-1450
Mailing address
5658 WESTCREEK DR STE 400, FORT WORTH, TX 76133-2254
(972) 424-9212
(972) 509-1450
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
21099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U49F
BLUE CROSS
TX
01
—
21099
TEXAS LICENSE
TX
Enumeration date
11/08/2006
Last updated
11/03/2011
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