Provider Demographics
NPI:1477529071
Name:BURMAN, RICHARD JOSEPH (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:JOSEPH
Last Name:BURMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6007 CYPRESS WAY DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-1514
Mailing Address - Country:US
Mailing Address - Phone:713-984-1165
Mailing Address - Fax:
Practice Address - Street 1:6007 CYPRESS WAY DR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-1514
Practice Address - Country:US
Practice Address - Phone:713-984-1165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC8088174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010062894OtherRAILROAD MEDICARE
TX760488294OtherTAX ID
TXC0888OtherLICENSE
TX205387603OtherID MEDICAID
TX89393ZOtherNEW BC/BS PROVIDER NUMBER
TX002711OtherOLD BC/BS ID NUMBER
TX6009913OtherCIGNA PROVIDER NUMBER
TXCG3443OtherGROUP # RRMDCR
TX113392803Medicaid
TX420279OtherWELLCARE
TXT0015707OtherDPS
TX741383469OtherOLD TAX IDENTIFICATION NUMBER
TX741383469OtherOLD TAX IDENTIFICATION NUMBER
TX420279OtherWELLCARE
D75108Medicare UPIN