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Individual

MICHAEL BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 ZAPATA AVE, RANCHO VIEJO, TX 78575-9654
(956) 350-8998
Mailing address
300 ZAPATA AVE, RANCHO VIEJO, TX 78575-9654
(956) 350-8998

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
E0224
TX

Other

Enumeration date
06/17/2015
Last updated
06/17/2015
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