Individual
MR. DERRICK TROY BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8355 CRESTWAY DR APT 620, CONVERSE, TX 78109-3613
(210) 429-4536
Mailing address
8355 CRESTWAY DR APT 620, CONVERSE, TX 78109-3613
(210) 429-4536
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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