Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | N7403 | TX |
NPI | 1154544054 |
---|---|
Provider Name | Amy M. Burton |
First Address | Fort Worth, TX 76161-1205 |
Second Address | Plano, TX 75093-8124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 14/09/2019 |