Doctor Name: | MARTY G BURROUGHS |
NPI Number: | 1588037154 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | S135329002 |
Business Practice Address: | 15275 Texas Rd Saint Robert, MO - 655843232 |
Business Phone Number: | 5737748364 |
Business Fax Number: | |
Mailing Address: | 15275 Texas Rd, SAINT ROBERT |
State: | MO |
Postal Code: | 655843232 |
Phone Number: | 5737748364 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2015 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 344600000X |
License Number: | S135329002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Taxi |
Taxonomy Specialization: | |
Taxonomy Definition: | A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located. |