Individual
JAMES TRISTAN BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544-5060
(727) 218-7233
Mailing address
204 ARBOR CT, PINEY FLATS, TN 37686-4656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
05/10/2024
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