Burgos, Denise M

Burgos, Denise M is an sole proprietor health care provider with primary practice located at 1901 N Macarthur Blvd , Irving TX 75061-2220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Burgos, Denise M can be contacted via phone (972) 579-8110.

Contact Information

Primary practice address
1901 N Macarthur Blvd Irving TX 75061-2220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K5264 Texas

Profile Details

NPI number 1659369379
LBN Legal business name Burgos, Denise M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Feb 5th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659369379 NPPES
Texas Other 8Z1281 BCBS
Texas MEDICAID 150730302 BCBS

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