Burlison, Scott Alan
Burlison, Scott Alan is an individual health care provider with primary practice located at 3414 Golden Rd , Tyler TX 75701-8336. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Burlison, Scott Alan can be contacted via phone (903) 939-7500.Contact Information
Primary practice address
3414 Golden Rd
Tyler TX 75701-8336
Phone: (903) 939-7500
Fax: (903) 939-7723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | M7884 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M7884 | Texas |
Profile Details
| NPI number | 1932303534 |
|---|---|
| LBN Legal business name | Burlison, Scott Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Oct 18th, 2022 - 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 | 1932303534 | NPPES |
| Texas | MEDICAID | 195341602 | |
| Texas | Other | 8U8518 | |
| Texas | MEDICAID | 1953411601 | |
| Texas | Other | TIN PLUS 042 |
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