Individual
CAROL CARRUTH BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D. P.A.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-1814
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F3797
TX
207LP3000X
Pediatric Anesthesiology Physician
TEXAS F3797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120235008
—
TX
05
—
120235009
—
TX
05
—
120235010
—
TX
01
—
8CM706
BCBS
—
Enumeration date
03/13/2007
Last updated
03/02/2011
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