Provider Demographics
NPI:1659904209
Name:BURNEY, CAMARON ELIZABETH (DPT)
Entity Type:Individual
Prefix:DR
First Name:CAMARON
Middle Name:ELIZABETH
Last Name:BURNEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:CAMARON
Other - Middle Name:ELIZABETH
Other - Last Name:CHIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2878 ROCKY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-4052
Mailing Address - Country:US
Mailing Address - Phone:409-770-3265
Mailing Address - Fax:
Practice Address - Street 1:11914 ASTORIA BLVD BLDG MEDICAL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6064
Practice Address - Country:US
Practice Address - Phone:281-929-4475
Practice Address - Fax:281-929-6276
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1293506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist