Individual
DR. STEPHANIE K. BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR STE 600, SAN ANTONIO, TX 78229-5907
(210) 616-7700
(210) 616-7799
Mailing address
P. O. BOX 29441, 8401 DATAPOINT, SUITE 600, SAN ANTONIO, TX 78229-0441
(210) 616-7796
(210) 616-7799
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
M8759
TX
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
M8759
TX
2085N0700X
Neuroradiology Physician
M8759
TX
2085N0904X
Nuclear Radiology Physician
M8759
TX
2085P0229X
Pediatric Radiology Physician
M8759
TX
2085R0202X
Diagnostic Radiology Physician
Primary
M8759
TX
2085R0203X
Therapeutic Radiology Physician
M8759
TX
2085R0204X
Vascular & Interventional Radiology Physician
M8759
TX
2085U0001X
Diagnostic Ultrasound Physician
M8759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013542-01
—
TX
05
—
3013542-02
—
TX
05
—
3013542-03
—
TX
01
—
M8759
TEXAS MEDICAL LICENSE
TX
01
—
P01066187
RAILROAD MEDICARE
TX
01
—
P01085027
RAILROAD MEDICARE
TX
Enumeration date
11/30/2007
Last updated
03/24/2016
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