Burlison, Scott Alan

Burlison, Scott Alan is an individual health care provider with primary practice located at 3414 Golden Rd , Tyler TX 75701-8336. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Burlison, Scott Alan can be contacted via phone (903) 939-7500.

Contact Information

Primary practice address
3414 Golden Rd Tyler TX 75701-8336
Phone: (903) 939-7500
Fax: (903) 939-7723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X M7884 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M7884 Texas

Profile Details

NPI number 1932303534
LBN Legal business name Burlison, Scott Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Oct 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932303534 NPPES
Texas MEDICAID 195341602
Texas Other 8U8518
Texas MEDICAID 1953411601
Texas Other TIN PLUS 042

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