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Organization

BURROUGHS MEDICAL CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN BURROUGHS M.D. (OWNER)
(254) 897-3310
Entity
Organization

Contact information

Practice address
1008 NE BIG BEND TRL, GLEN ROSE, TX 76043-4912
(254) 897-3310
(254) 897-9973
Mailing address
PO BOX 2730, GLEN ROSE, TX 76043-2730
(254) 897-3310
(254) 897-9973

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1901
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0097RH
BLUE CROSS BLUE SHIELD TEXAS
TX
Enumeration date
04/28/2008
Last updated
12/08/2014
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