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Individual

BURTON HENRY FRANK II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3223 S LOOP 289, SUITE 101, LUBBOCK, TX 79423-8312
(806) 744-7223
(806) 740-3325
Mailing address
3223 S LOOP 289 STE 101, LUBBOCK, TX 79423-8312
(806) 744-7223
(806) 740-3325

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1174483
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8T7392
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/16/2007
Last updated
04/11/2012
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