Individual
DAMEIN M BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4522
Mailing address
8950 TAYLOR LN, SHREVEPORT, LA 71129-4353
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113333
LA
367500000X
Certified Registered Nurse Anesthetist
776338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210778101
—
TX
05
—
210778102
—
TX
01
—
750818167015
TRICARE
TX
01
—
8953UU
BCBS OF TEXAS
TX
Enumeration date
01/28/2010
Last updated
03/18/2026
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