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Individual

MR. GARY ROBERT BURMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15035 EAST FWY, SUITE D, CHANNELVIEW, TX 77530-4135
(281) 457-0477
(281) 457-6238
Mailing address
15035 EAST FWY, SUITE D, CHANNELVIEW, TX 77530-4135
(281) 457-0477
(281) 457-6238

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1204
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033779201
TX
01
10038712
AMERIGROUP
01
110148312
RAILROAD MEDICARE
TX
01
414780
WELLCARE IDENTIFICATION NUMBER
TX
01
4458279
AETNA
TX
01
8X6990
BLUE CROSS BLUE SHIELD
TX
01
9033679
CIGNA
TX
01
B0081062
DPS
TX
01
J1204
LICENSE
TX
Enumeration date
02/22/2006
Last updated
03/07/2023
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