Burnett, Mindy Gayle

Burnett, Mindy Gayle is an individual health care provider with primary practice located at 1701 River Run Suite 104, Fort Worth TX 76107-6579. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Burnett, Mindy Gayle can be contacted via phone (817) 882-9611.

Contact Information

Primary practice address
1701 River Run Suite 104 Fort Worth TX 76107-6579
Fax: (817) 882-9976
Website:

Health care specialties

Profile Details

NPI number 1346440195
LBN Legal business name Burnett, Mindy Gayle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Jul 19th, 2007 - about 17 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 1346440195 NPPES
Texas Other 2032316 ECPTOTE OF TEXAS

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