Burgess, Christine Renee
Burgess, Christine Renee is an individual health care provider with primary practice located at 3445 Executive Center Drive Ste 250, Austin TX 78731-1678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Burgess, Christine Renee can be contacted via phone (512) 579-4000.Contact Information
Primary practice address
3445 Executive Center Drive Ste 250
Austin TX 78731-1678
Phone: (512) 579-4000
Fax: (512) 439-2814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 054758 | Georgia |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | M7343 | Texas |
Profile Details
| NPI number | 1083838809 |
|---|---|
| LBN Legal business name | Burgess, Christine Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Feb 2nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083838809 | NPPES |
| Texas | Other | 8AN450 | BCBSTX |
| Texas | Other | 189996502 | BCBSTX |
| Texas | MEDICAID | 189996501 | BCBSTX |
| Texas | MEDICAID | 189996503 | BCBSTX |
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