Organization
BALCONES HEALTHCARE ASSOCIATES, PA
Active
Other names
Highland Lakes Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN G. BURGEST M.D. (PRESIDENT)
(512) 868-4352
Entity
Organization
Contact information
Practice address
200 COUNTY ROAD 340A, BUILDING 1, SUITE 4, BURNET, TX 78611-4537
(512) 868-4352
(512) 868-4354
Mailing address
PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
(512) 868-4352
(512) 868-4354
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
L9637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2128704-01
—
TX
Enumeration date
06/23/2009
Last updated
01/25/2011
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