Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | P3293 | TX |
NPI | 1336255843 |
---|---|
Provider Name | Dr. Garrett C Burris |
First Address | The Woodlands, TX 77384-8011 |
Second Address | The Woodlands, TX 77384-8011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 10/10/2012 |