Provider Demographics
NPI:1093932949
Name:EINSPRUCH, BURTON C (MD)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:C
Last Name:EINSPRUCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 MEADOW RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3767
Mailing Address - Country:US
Mailing Address - Phone:214-369-1636
Mailing Address - Fax:214-265-7834
Practice Address - Street 1:8330 MEADOW RD
Practice Address - Street 2:SUITE 117
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3767
Practice Address - Country:US
Practice Address - Phone:214-369-1636
Practice Address - Fax:214-265-7834
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1449924102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149924OtherTMA AMPS ID#