Burgos, Robert D
Burgos, Robert D is an sole proprietor health care provider with primary practice located at 11803 South Freeway Suite 354, Fort Worth TX 76115. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Burgos, Robert D can be contacted via phone (817) 551-9300.Contact Information
Primary practice address
11803 South Freeway Suite 354
Fort Worth TX 76115
Phone: (817) 551-9300
Fax: (817) 551-9083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | H4879 | Texas |
Profile Details
| NPI number | 1952359135 |
|---|---|
| LBN Legal business name | Burgos, Robert D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Feb 18th, 2019 - about 5 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 | 1952359135 | NPPES |
| Texas | Other | 00U32T | BLUE CROSS BLUE SHIELD |
| Texas | Other | H4879 | BLUE CROSS BLUE SHIELD |
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