Individual
MR. GERALD ROBERT BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1014 MEMORIAL DR, SUITE 324, DENISON, TX 75020-2079
(903) 416-6360
(903) 416-6361
Mailing address
3054 BROOKFIELD DRIVE, GRAND PRAIRIE, TX 75052-7559
(972) 602-4785
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-02218
TEXAS MEDICAL PERMIT
TX
Enumeration date
08/23/2006
Last updated
10/07/2009
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