Burruss, Matthew

Burruss, Matthew is an individual health care provider with primary practice located at 5012 S Us Highway 75 Ste 105 , Denison TX 75020-4611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burruss, Matthew can be contacted via phone (903) 416-6490.

Contact Information

Primary practice address
5012 S Us Highway 75 Ste 105 Denison TX 75020-4611
Phone: (903) 416-6490
Fax: (903) 463-1201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2014-01688 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X R0844 Texas

Profile Details

NPI number 1518194984
LBN Legal business name Burruss, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated Jul 8th, 2021 - about 5 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 1518194984 NPPES
Texas MEDICAID 3740391-01
Texas Other 19CQ8
Texas MEDICAID 1518194984

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