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Mariah Fiorillo Burnell, DO
Student in an Organized Health Care Education/Training Program in Southlake, Texas
NPI 1376084996

Mariah Fiorillo Burnell is a Student in an Organized Health Care Education/Training Program based in Southlake, TX. Mariah Fiorillo Burnell practices in Southlake, TX and has the professional credentials of DO. The NPI Number for Mariah Fiorillo Burnell is 1376084996 and holds a License No. T8183 (Texas).

The current practice location address for Mariah Fiorillo Burnell is 3055 W Southlake Blvd Ste 100, Southlake, TX and can be reached out via phone at 682-593-7639 and via fax at 682-593-0739.

Location: 3055 W Southlake Blvd Ste 100, Southlake, TX, 76092-6730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376084996
Provider Name
Mariah Fiorillo Burnell
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3055 W Southlake Blvd Ste 100, Southlake, TX, 76092-6730
Phone Number
682-593-7639
Fax Number
682-593-0739
Provider Enumeration Date
03/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3055 W Southlake Blvd Ste 100
City
Southlake
State
Texas
Zip
76092-6730
Phone Number
682-593-7639
Fax Number
682-593-0739
person
Provider Business Mailing Address Details
Address
3055 W Southlake Blvd Ste 100
City
Southlake
State
Texas
Zip
76092-6730
Phone Number
682-593-7639
Fax Number
682-593-0739
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101023153 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
T8183 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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