Burgos, Denise M
Burgos, Denise M is an sole proprietor health care provider with primary practice located at 1901 N Macarthur Blvd , Irving TX 75061-2220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Burgos, Denise M can be contacted via phone (972) 579-8110.Contact Information
Primary practice address
1901 N Macarthur Blvd
Irving TX 75061-2220
Phone: (972) 579-8110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | K5264 | Texas |
Profile Details
| NPI number | 1659369379 |
|---|---|
| LBN Legal business name | Burgos, Denise M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Feb 5th, 2014 - about 12 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 | 1659369379 | NPPES |
| Texas | Other | 8Z1281 | BCBS |
| Texas | MEDICAID | 150730302 | BCBS |
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