Individual
CHRISTIAN ANTHONY BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST, FT WORTH, TX 76104-4917
(817) 702-6882
Mailing address
18211 KELLY BLVD APT 1713, DALLAS, TX 75287-4646
(972) 306-6215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q5770
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10045750
TX
Other
Enumeration date
05/10/2013
Last updated
01/27/2016
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