Individual
DANIEL BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1503 RIDGLEA DR, MIDLAND, TX 79701-2616
(832) 483-0410
Mailing address
1503 RIDGLEA DR, MIDLAND, TX 79701-2616
(832) 483-0410
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
10/31/2011
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