Individual
MICHELE MARIE BURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5959 GATEWAY BLVD W, SUITE 120, EL PASO, TX 79925-3331
(915) 779-1716
Mailing address
5501 N STANTON ST, EL PASO, TX 79912-6439
(956) 353-9907
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
676871
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
676871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152066003
—
TX
Enumeration date
06/13/2006
Last updated
06/03/2015
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