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Individual

MS. JENNIFER LEE BURCIAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188

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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