Robert Dresty Burrle III
Technician, Attendant Care Provider in Pearland, TX. Individual provider (NPI-1).
NPI number1700519535
StatusActive
Last updated in NPPESJul 8, 2022
Details
- NPI
- 1700519535
- Entity type
- Individual (NPI-1)
- Name
- Robert Dresty Burrle III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2022
- Certification date
- Jul 8, 2022
- Last updated
- Jul 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | 021592 | TX | Yes |
Practice location
11200 Broadway St Ste 2743Pearland, TX 77584-9787
Phone 281-224-9640
Mailing address
11200 Broadway St Ste 2743Pearland, TX 77584-9787
Phone 281-224-9640
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