William E Burns Jr M D, Pllc | |
208 Oak Dr S Ste 502 Lake Jackson TX 77566-5789 | |
(979) 297-4507 | |
(979) 480-9074 |
Full Name | William E Burns Jr M D, Pllc |
---|---|
Speciality | Family Medicine |
Location | 208 Oak Dr S Ste 502, Lake Jackson, Texas |
Authorized Official Name and Position | Peggy L Christ (OFFICE MANAGER) |
Authorized Official Contact | 9792974507 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
William E Burns Jr M D, Pllc 208 Oak Dr S Ste 502 Lake Jackson TX 77566-5789 Ph: (979) 297-4507 | William E Burns Jr M D, Pllc 208 Oak Dr S Ste 502 Lake Jackson TX 77566-5789 Ph: (979) 297-4507 |
NPI Number | 1225466253 |
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Provider Enumeration Date | 10/30/2013 |
Last Update Date | 10/22/2024 |
Medicare PECOS PAC ID | 7719369859 |
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Medicare Enrollment ID | O20220805000368 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225466253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E6265 (Texas) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | William E Burns |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881680338 PECOS PAC ID: 1850422734 Enrollment ID: I20100622000598 |
Provider Name | Samantha B Mccarey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316459704 PECOS PAC ID: 0547527244 Enrollment ID: I20171206000094 |
Provider Name | Brandy Vandergrifft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336746981 PECOS PAC ID: 3678983269 Enrollment ID: I20201111000146 |
Provider Name | Brielle Byrd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629857164 PECOS PAC ID: 1557711397 Enrollment ID: I20231220001629 |
Provider Name | Jessica Covington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134762750 PECOS PAC ID: 4284029059 Enrollment ID: I20240403000080 |
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