Individual
DENISE M BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 N MACARTHUR BLVD, IRVING, TX 75061-2220
(972) 579-8110
Mailing address
133 DICKENS DR, COPPELL, TX 75019-2108
(972) 306-3439
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K5264
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150730302
—
TX
01
—
8Z1281
BCBS
TX
Enumeration date
10/06/2005
Last updated
02/05/2014
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