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Jeannette E. Burg

Clinic/Center in Humble, TX. Individual provider (NPI-1).

NPI number1790793859
StatusActive
Last updated in NPPESApr 21, 2011

Details

NPI
1790793859
Entity type
Individual (NPI-1)
Name
Jeannette E. Burg
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 4, 2006
Last updated
Apr 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center261QR0400XTXYes
225X00000X Occupational Therapist100283TX

Practice location

9810 Fm 1960 Bypass Rd W
# 190
Humble, TX 77338-3522

Phone 281-446-0371 · Fax 281-446-4299

Mailing address

1707 South Blvd
Houston, TX 77098-5419

Phone 713-526-4997

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