Individual
BURTON J ZUNG
Active
Individual
BURTON J ZUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
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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