person
Raven Burns, MD
Military Health Care Provider in Jbsa Lackland, Texas
NPI 1124726351

Raven Burns is a Military Health Care Provider based in Jbsa Lackland, TX. Raven Burns practices in Jbsa Lackland, TX and has the professional credentials of MD. The NPI Number for Raven Burns is 1124726351 and holds a License No. (Texas).

The current practice location address for Raven Burns is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX and can be reached out via phone at 360-908-7860.

Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236-5638
person
Provider Profile Details
NPI Number
1124726351
Provider Name
Raven Burns
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236-5638
Phone Number
360-908-7860
Fax Number
Provider Enumeration Date
02/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
State
Zip
78236-5638
Phone Number
360-908-7860
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
State
Zip
78236-5638
Phone Number
360-908-7860
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
(Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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