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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1467410613 NPPES
Washington MEDICAID 8206468
Washington Other BU5281

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