Burnell, Mariah Fiorillo

Burnell, Mariah Fiorillo is an sole proprietor health care provider with primary practice located at 3055 W Southlake Blvd Ste 100 , Southlake TX 76092-6730. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Burnell, Mariah Fiorillo can be contacted via phone (682) 593-7639.

Contact Information

Primary practice address
3055 W Southlake Blvd Ste 100 Southlake TX 76092-6730
Phone: (682) 593-7639
Fax: (682) 593-0739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T8183 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101023153 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1376084996
LBN Legal business name Burnell, Mariah Fiorillo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2017
Last updated Jan 16th, 2023 - about 3 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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