Individual
DR. CHARLOTTE DENISE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1212 BENT OAKS CT, SUITE 200, DENTON, TX 76210-8061
(940) 243-0108
(940) 387-3446
Mailing address
1212 BENT OAKS CT, SUITE 200, DENTON, TX 76210-8061
(940) 243-0108
(940) 387-3446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11195715
CAQH
TX
01
—
4812906230002
CIGNA
TX
01
—
664029
ACN
TX
01
—
94JS
BCBS
TX
Enumeration date
04/02/2007
Last updated
07/08/2007
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