Ellen Winifred Burton, MD
Student in an Organized Health Care Education/Training Program in San Antonio, TX. Individual provider (NPI-1).
NPI number1164210902
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1164210902
- Entity type
- Individual (NPI-1)
- Name
- Ellen Winifred Burton
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2025
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4502 Medical DrSan Antonio, TX 78229-4402
Phone 210-358-3555 · Fax 210-702-4239
Mailing address
7703 Floyd Curl DrSan Antonio, TX 78229-3901
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