Zung, Burton J
Zung, Burton J is an sole proprietor health care provider with primary practice located at 5658 Wescreek Dr Ste 400 Ste 400, Fort Worth TX 76133. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Zung, Burton J can be contacted via phone (972) 424-9212.Contact Information
Primary practice address
5658 Wescreek Dr Ste 400 Ste 400
Fort Worth TX 76133
Phone: (972) 424-9212
Fax: (972) 509-1450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 21099 | Texas |
Profile Details
NPI number | 1386713691 |
---|---|
LBN Legal business name | Zung, Burton J |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 8th, 2006 |
Last updated | Nov 3rd, 2011 - about 13 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 | 1386713691 | NPPES |
Texas | Other | 00U49F | BLUE CROSS |
Texas | Other | 21099 | BLUE CROSS |
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