Dr. Benjamin Scott Burris, M.D.
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in Tyler, TX. Individual provider (NPI-1).
NPI number1275876609
StatusActive
Last updated in NPPESJul 7, 2014
Details
- NPI
- 1275876609
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Scott Burris
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2013
- Last updated
- Jul 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0500X | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | BP10048814 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11937 Us Highway 271Tyler, TX 75708-3154
Phone 903-877-7777
Mailing address
11937 Us Highway 271Tyler, TX 75708-3154
Phone 903-877-7777
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