DEALLEN BURSE


Address: 14412 Jasmine Terrace Ln, Houston, TX 77047-2979
Phone: 8327719088

DEALLEN BURSE (NPI# 1255419644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255419644
Entity Type Individual
Full Name DEALLEN BURSE
Credential NP
Practice Address 14412 Jasmine Terrace Ln
Houston
TX 77047-2979
Practice Telephone 8327719088
Mailing Telephone 8327719088
Enumeration Date 2006-11-01
Last Update Date 2012-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
716939 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14412 JASMINE TERRACE LN
City HOUSTON
State TX
Zip Code 77047-2979

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77047

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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