Individual
DR. RICHARD BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 RAINTREE CIR, SUITE 100, ALLEN, TX 75013-4900
(972) 727-9995
(972) 727-8350
Mailing address
1125 RAINTREE CIR, SUITE 100, ALLEN, TX 75013-4900
(972) 727-9995
(972) 727-8350
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M9890
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M9890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202607201
—
TX
01
—
8CR165
BC/BS TX - EFFECT. 02/01/2011
TX
01
—
P00913318
MEDICARE RAILROAD - EFFECT 02/01/2011
TX
01
—
TXB117538
MEDICARE PART B - EFFECT. 02/01/2011
TX
Enumeration date
05/30/2007
Last updated
10/15/2020
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