Organization
BURROWS CLINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY G. BURROWS D.O. (OWNER)
(817) 531-2081
Entity
Organization
Contact information
Practice address
3514 E BERRY ST, FORT WORTH, TX 76105-5305
(817) 531-2801
(817) 534-0652
Mailing address
PO BOX 123627, FORT WORTH, TX 76121-3627
(817) 531-2801
(817) 534-0652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051LB
BCBS
TX
Enumeration date
12/19/2007
Last updated
12/19/2007
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