Provider Demographics
NPI:1093599532
Name:BURRIS, SAVANNAH CRISTINA
Entity Type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:CRISTINA
Last Name:BURRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9315 VINCA PASS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1731
Mailing Address - Country:US
Mailing Address - Phone:210-842-5627
Mailing Address - Fax:
Practice Address - Street 1:9315 VINCA PASS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1731
Practice Address - Country:US
Practice Address - Phone:210-842-5627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program