Organization
FRONTLINE MOBILE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL BURNHAM APA-C (CEO)
(512) 838-3808
Entity
Organization
Contact information
Practice address
6517 N LAKEWOOD DR, GEORGETOWN, TX 78633-9530
(512) 838-3808
(512) 253-2861
Mailing address
6517 N LAKEWOOD DR, GEORGETOWN, TX 78633-9530
(512) 838-3808
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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