Organization
DR. RAMON BURSTYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON B BURSTYN O.D. (OWNER/DOCTOR)
(512) 454-5117
Entity
Organization
Contact information
Practice address
8001 BURNET RD, AUSTIN, TX 78757-8122
(512) 454-5117
(512) 450-1496
Mailing address
PO BOX 9349, AUSTIN, TX 78766-9349
(512) 454-5117
(512) 450-1496
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003EF
BLUECROSS BLUESHIELD
TX
Enumeration date
01/02/2008
Last updated
01/15/2008
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