Burroughs, Adam Glen
Burroughs, Adam Glen is an sole proprietor health care provider with primary practice located at 4221 S Western Ave Ste 2010 , Oklahoma City OK 73109-3445. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Burroughs, Adam Glen can be contacted via phone (405) 644-5120.Contact Information
Primary practice address
4221 S Western Ave Ste 2010
Oklahoma City OK 73109-3445
Phone: (405) 644-5120
Fax: (405) 644-5309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BP10044544 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Q5769 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 31974 | Oklahoma |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 31974 | Oklahoma |
Profile Details
| NPI number | 1134488281 |
|---|---|
| LBN Legal business name | Burroughs, Adam Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2012 |
| Last updated | Aug 27th, 2020 - about 4 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 | 1134488281 | NPPES |
| Oklahoma | MEDICAID | 200654080A |
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