Individual
MS. JENNIFER LEE BURCIAGA
Active
Individual
MS. JENNIFER LEE BURCIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8215NV
BCBS - XCITE SURGICAL LLC
TX
01
—
8278NT
BCBS - USA
TX
01
—
8279NT
BCBS - USP
TX
01
—
8LI003
BCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX
01
—
8PX985
BCBS - US MSO
TX
01
—
PA10120
TEXAS MEDICAL BOARD
TX
Enumeration date
10/29/2015
Last updated
06/06/2023
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