Provider Demographics
NPI:1588819718
Name:BURNS, ERIN SUE (AUD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:SUE
Last Name:BURNS
Suffix:
Gender:F
Credentials:AUD
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 10076
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77710-0076
Mailing Address - Country:US
Mailing Address - Phone:409-880-8281
Mailing Address - Fax:
Practice Address - Street 1:4810 ROLFE CHRISTOPHER DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705
Practice Address - Country:US
Practice Address - Phone:409-880-8281
Practice Address - Fax:409-880-2265
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80101237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX213988301Medicaid
TX213988301Medicaid