Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | S5567 | TX |
NPI | 1043414485 |
---|---|
Provider Name | Basil Omar Burney |
First Address | Dallas, TX 75284-4658 |
Second Address | Cedar Park, TX 78613-9093 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 23/12/2020 |