Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | G87361 | CA |
N | 207RS0012X | Sleep Medicine | G87361 | CA |
Y | 2084N0400X | Neurologist | Q9967 | TX |
N | 2084N0600X | Clinical Neurophysiologist | G87361 | CA |
N | 2084N0600X | Clinical Neurophysiologist | Q9967 | TX |
NPI | 1821075060 |
---|---|
Provider Name | Dr. Guy T Burrows |
First Address | Houston, TX 77030-1541 |
Second Address | Houston, TX 77030-1541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 05/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0035TD | BCBSTX GRP PROV REC (01) | TX |
00659N | GRP MDCR PTAN (01) | TX |
08207706 | BLUE CROSS BLUE SHIELD (01) | IL |
130015602 | RAIL ROAD MEDICARE (01) | |
153449706 | MDCD GRP TPI (01) | TX |
DB6392 | RR MDCR GRP PTAN (01) | TX |
G37723 | (02) | IL |