Individual
ELIZABETH JAY BURGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
894 UNION STATION PKWY, APT 10107, LEWISVILLE, TX 75057-5247
(210) 607-0825
Mailing address
894 UNION STATION PKWY, APT 10107, LEWISVILLE, TX 75057-5247
(210) 607-0825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5245
TX
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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