Provider Demographics
NPI:1568473742
Name:BURR, KATHERINE (LSA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:BURR
Suffix:
Gender:F
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:PONDER
Mailing Address - State:TX
Mailing Address - Zip Code:76259-0097
Mailing Address - Country:US
Mailing Address - Phone:972-378-0043
Mailing Address - Fax:972-378-0467
Practice Address - Street 1:6124 W PARKER RD
Practice Address - Street 2:SUITE 534
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8122
Practice Address - Country:US
Practice Address - Phone:972-378-0043
Practice Address - Fax:972-378-0467
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty