Provider Demographics
NPI:1972290005
Name:BURRUSWEBB, MAX (CAD)
Entity Type:Individual
Prefix:
First Name:MAX
Middle Name:
Last Name:BURRUSWEBB
Suffix:
Gender:M
Credentials:CAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26602 KEITH ST
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8327
Mailing Address - Country:US
Mailing Address - Phone:206-651-0978
Mailing Address - Fax:
Practice Address - Street 1:26602 KEITH ST
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8327
Practice Address - Country:US
Practice Address - Phone:206-651-0978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula