| Tom C. Burditt, Jr. | |
|
2630 Exposition Blvd Ste 116 Austin TX 78703-1758 | |
| (512) 322-0209 | |
| Not Available |
| Full Name | Tom C. Burditt, Jr. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2630 Exposition Blvd Ste 116, Austin, Texas |
| Authorized Official Name and Position | Tom Connolly Burditt (SOLE PROPRIETOR) |
| Authorized Official Contact | 5123220209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom C. Burditt, Jr. 2630 Exposition Blvd Ste 116 Austin TX 78703-1758 Ph: (512) 322-0209 | Tom C. Burditt, Jr. 2630 Exposition Blvd Ste 116 Austin TX 78703-1758 Ph: (512) 322-0209 |
| NPI Number | 1053408658 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053408658 | NPI | - | NPPES |
| 00S70B | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 000209 (Texas) | Primary |
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