Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | C54839 | CA |
N | 204F00000X | Transplant Surgeon | G5725 | TX |
N | 208200000X | Surgeon | C54839 | CA |
N | 208600000X | Surgeon | C54839 | CA |
N | 208200000X | Surgeon | G5725 | TX |
N | 208600000X | Surgeon | G5725 | TX |
Y | 2086S0129X | Vascular Surgeon | C54839 | CA |
NPI | 1093755027 |
---|---|
Provider Name | David Vanburen |
First Address | Fresno, CA 93710-5266 |
Second Address | Fresno, CA 93710-5266 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 27/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020052581 | MEDICARE RAILROAD (01) | TX |
100043740A | (05) | OK |
130529101 | FIRSTCARE COMMERCIAL (01) | TX |
130529102 | (05) | TX |
151818501 | (05) | TX |
151818503 | (05) | TX |
201038181 | (05) | NM |
201038181 | PRESBYTERIAN COMMERCIAL (01) | NM |
450686CA99685 | SECTION 1011 (01) | TX |
62476254 | (05) | NM |
86665Z | HMO BLUE (01) | TX |
8G0350 | BC/BS (01) | TX |
A539 | TRIWEST (01) | NM |
A99685 | (02) | TX |