Burgoyne, John D
Burgoyne, John D is an individual health care provider with primary practice located at 12201 Renfert Way , Austin TX 78758-5354. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Burgoyne, John D can be contacted via phone (512) 277-7500.Contact Information
Primary practice address
12201 Renfert Way
Austin TX 78758-5354
Phone: (512) 277-7500
Fax: (972) 984-1376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | MD00034623 | Washington |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD00034623 | Washington |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD00034623 | Washington |
Profile Details
| NPI number | 1467410613 |
|---|---|
| LBN Legal business name | Burgoyne, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | May 15th, 2023 - 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 | 1467410613 | NPPES |
| Washington | MEDICAID | 8206468 | |
| Washington | Other | BU5281 |
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