| Doctor Name: | DALE WAYNE BURATT |
| NPI Number: | 1215211131 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.EPT. |
| License Number: | |
| Business Practice Address: | 18291 Pin Oak Ln Prairieville, LA - 707696352 |
| Business Phone Number: | 2256223527 |
| Business Fax Number: | 2256223802 |
| Mailing Address: | 18291 Pin Oak Ln, PRAIRIEVILLE |
| State: | LA |
| Postal Code: | 707696352 |
| Phone Number: | 2256223527 |
| Fax Number: | 2256223802 |
| NPI Enumeration Date: | 10/11/2011 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |