Burrell, Jason Ray

Burrell, Jason Ray is an sole proprietor health care provider with primary practice located at 530 Parkmont Ct , San Antonio TX 78258-4889. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Burrell, Jason Ray can be contacted via phone (210) 573-7515.

Contact Information

Primary practice address
530 Parkmont Ct San Antonio TX 78258-4889
Phone: (210) 573-7515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67978 Wisconsin
Allopathic & Osteopathic Physicians / General Practice 208D00000X 55939 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD465526 Pennsylvania
Allopathic & Osteopathic Physicians / General Practice 208D00000X N6201 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N6201 Texas

Profile Details

NPI number 1659538197
LBN Legal business name Burrell, Jason Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2008
Last updated Oct 15th, 2023 - about last year

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 1659538197 NPPES
Wisconsin MEDICAID 1659538197

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