Ivon Burciaga, RDN | |
309 Baldwin St, Red Oak, TX 75154-4005 | |
(469) 552-3394 | |
Not Available |
Full Name | Ivon Burciaga |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 309 Baldwin St, Red Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1851057178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DT86857 (Texas) | Primary |
Provider Name | Dallas County Hospital District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
Mailing Address | Practice Location Address |
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Ivon Burciaga, RDN 309 Baldwin St, Red Oak, TX 75154-4005 Ph: (469) 552-3394 | Ivon Burciaga, RDN 309 Baldwin St, Red Oak, TX 75154-4005 Ph: (469) 552-3394 |
Lacey Renette Mcmillian, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Laurel Oak Dr, Red Oak, TX 75154 Phone: 469-464-8912 | |
Tracie Little, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 629 William Dr, Red Oak, TX 75154 Phone: 512-436-2350 | |
Mrs. Briana Gattis Baker, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 220 Bob White Dr, Red Oak, TX 75154 Phone: 409-782-9641 |