Individual
DR. CHARLES COURTNEY BURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-5383
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-5383
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q2745
TX
Other
Enumeration date
07/05/2012
Last updated
07/30/2015
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