Provider Demographics
NPI:1861574147
Name:BURNS, JOHN THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
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 2206
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77574-2206
Mailing Address - Country:US
Mailing Address - Phone:713-622-8382
Mailing Address - Fax:281-334-6853
Practice Address - Street 1:14903 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2603
Practice Address - Country:US
Practice Address - Phone:713-622-8382
Practice Address - Fax:281-334-6853
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4941207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1358198OtherPHCS PIN
TX2915731OtherCIGNA PIN
TX3848OtherMHHNP PIN
TX6730246OtherRNPO PIN
TX8U6890OtherBCBS PIN
TX4010217OtherAETNA PIN
TX1358198OtherPHCS PIN
TX6730246OtherRNPO PIN
TX3848OtherMHHNP PIN