Tom C. Burditt, Jr.

NPI 1053408658 - Social Worker - 1041C0700X

NPI Details
NPI 1053408658
Enumeration Date 10/06/2006
Last Updated 06/09/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TOM CONNOLLY TOM
Position SOLE PROPRIETOR
Phone (512) 322-0209
Fax
Practice Location
2630 EXPOSITION BLVD STE 116
AUSTIN TX, 78703-1758, US
Phone (512) 322-0209
Fax
Business Location
2630 EXPOSITION BLVD STE 116
AUSTIN TX, 78703-1758, US
Phone (512) 322-0209
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number 000209
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According to our database, Tom C. Burditt, Jr. NPI is 1053408658, taxonomy code is 1041C0700X and license number is 000209, license state is located at Texas. Tom C. Burditt, Jr. physically located at 2630 Exposition Blvd Ste 116, Austin TX, 78703-1758. NPI Number 1033115704 has the healthcare provider type.

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1053408658 NPI number is provided on an as is basis without warranty of any kind. 1053408658 is maintained by the National Plan & Provider Enumeration System. The contents of Tom C. Burditt, Jr. are for informational purposes only.