Individual
ROXANNE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
1505 ANGELO ST, CASTROVILLE, TX 78009-4316
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1096285
TX
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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