Provider Demographics
NPI:1295732832
Name:BURLING, CHRISTOPHER MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:BURLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:618 N JEFFERSON AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-3647
Mailing Address - Country:US
Mailing Address - Phone:903-575-9500
Mailing Address - Fax:903-575-9866
Practice Address - Street 1:618 N JEFFERSON AVE
Practice Address - Street 2:STE 1
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-3647
Practice Address - Country:US
Practice Address - Phone:903-575-9500
Practice Address - Fax:903-575-9866
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK7676207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D1016874OtherCILIA
TX044025705Medicaid
TX8F3153Medicare PIN
TX044025705Medicaid