Jackson Beauregard Burns

NPI #1295515518 in Rosharon, Texas

Provider Information

NPI Number: 1295515518
Entity Type: Individual
Name: Jackson Beauregard Burns
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 3, 2023
Last Updated: Oct 3, 2023

Practice Location

Address: 16818 WRANGLER RD
City: Rosharon
State: Texas
ZIP Code: 77583-7327
Phone: (432) 251-8598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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