Individual provider · NPI-1

Benjamin O. Burt, MD

Ophthalmology · El Paso, TX

NPI number1205079969
StatusActive
Last updated in NPPESApr 10, 2009

Details

NPI
1205079969
Entity type
Individual (NPI-1)
Name
Benjamin O. Burt
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 10, 2009
Last updated
Apr 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology42584TXYes

Practice location

4800 Alberta Ave
El Paso, TX 79905-2709

Phone 915-783-8100 · Fax 915-783-8187

Mailing address

4800 Alberta Ave
El Paso, TX 79905-2709

Phone 915-783-8100 · Fax 915-783-8187

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