Organization
BURGESS CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE DENISE BURGESS D. C. (OWNER/PRESIDENT)
(940) 243-0108
Entity
Organization
Contact information
Practice address
1100 DALLAS DR STE 112, DENTON, TX 76205-5121
(940) 243-0108
(940) 387-3446
Mailing address
1100 DALLAS DR STE 112, DENTON, TX 76205-5121
(940) 243-0108
(940) 387-3446
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11195715
UNITED HEALTH CARE
—
05
—
1549388-01
—
TX
01
—
1891816716
INTEGRATED HEALTH PLAN, INC.
FL
01
—
1891816716
HUMANA
KY
01
—
1891816716
PHCS
NJ
01
—
1891816716
FIRST HEALTH (COVENTRY)
TN
01
—
1891816716
WELLCARE
TX
01
—
8H9157
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
08/25/2009
Last updated
07/23/2020
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