Individual
CATHRYN BURBIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
27487 W HIGHWAY 84, MC GREGOR, TX 76657-3717
(254) 848-7474
Mailing address
PO BOX 20308, WACO, TX 76702-0308
(254) 848-7474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N59X
BLUE CROSS BLUE SHIELD
—
05
—
038623705
—
TX
05
—
038623706
—
TX
05
—
042306302
—
TX
01
—
8F5616
BLUE CROSS BLUE SHIELD
TX
01
—
8K4020
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/03/2006
Last updated
01/05/2010
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