Provider Demographics
NPI:1073562138
Name:BURT, JOSEPH ANDREW (DC, DACBN, CCN)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANDREW
Last Name:BURT
Suffix:
Gender:M
Credentials:DC, DACBN, CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 N 10TH ST
Mailing Address - Street 2:#204
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3004
Mailing Address - Country:US
Mailing Address - Phone:956-668-1110
Mailing Address - Fax:956-668-1121
Practice Address - Street 1:5801 N 10TH ST
Practice Address - Street 2:STE. 100
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2610
Practice Address - Country:US
Practice Address - Phone:956-668-1110
Practice Address - Fax:956-668-1121
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6416111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition