Basic Information
Provider Information
NPI: 1104840511
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURNS
FirstName: JOYCE
MiddleName: WALKER
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7711 LOUIS PASTEUR DR
Address2: STE 707
City: SAN ANTONIO
State: TX
PostalCode: 782293422
CountryCode: US
TelephoneNumber: 2105758500
FaxNumber: 2105758506
Practice Location
Address1: 8026 FLOYD CURL DR
Address2: 2ND FLOOR
City: SAN ANTONIO
State: TX
PostalCode: 782293915
CountryCode: US
TelephoneNumber: 2105754837
FaxNumber: 2105758506
Other Information
ProviderEnumerationDate: 07/27/2006
LastUpdateDate: 10/07/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X645237TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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