MR. LARRY ELDON BURSON (NPI# 1194876516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194876516 |
Entity Type | Individual |
Full Name | MR. LARRY ELDON BURSON |
Credential | L.P.C. |
Practice Address |
307 W Main St Suite 204 Fredericksburg TX 78624-3740 |
Practice Telephone | 8309974662 |
Practice Fax Number | 8309908102 |
Mailing Telephone | 8309974662 |
Mailing Fax Number | 8309908102 |
Enumeration Date | 2007-01-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
12876 | TX | Behavioral Health & Social Service Providers |
Street Address |
307 W MAIN ST SUITE 204 |
City | FREDERICKSBURG |
State | TX |
Zip Code | 78624-3740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700894292 | Paula C Swenson | Social Worker | 307 W Main St, Suite 205, Fredericksburg, TX 78624-3740 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
Find all providers in zip 78624 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891392445 | Jashanda Poe | Counselor | 238 Riverside Manor Blvd, Fredericksburg, VA 22401-4937 | 2020-10-07 |
1124653647 | Monday Courage LLC | Counselor | 180 Chatham Heights Rd Ste 203, Fredericksburg, VA 22405-2569 | 2020-03-04 |
1649803594 | Malcolm Ian Bernard | Counselor | 180 Chatham Heights Rd, Fredericksburg, VA 22405-2569 | 2020-02-19 |
1538727003 | April Mae Cook | Counselor | 4820 Southpoint Dr Ste 105, Fredericksburg, VA 22407-2605 | 2019-05-30 |
1831754928 | Rebecca Clay Howson-jacobs | Counselor | 1801 William St, Fredericksburg, VA 22401-5236 | 2019-05-05 |
1962962076 | Mary Wazeter Mannhardt I | Counselor | 1141 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2019-03-23 |
1760949127 | Starting Point of Virginia, P.C. | Counselor | 4024 Plank Rd, Fredericksburg, VA 22407-4800 | 2019-02-21 |
1558835686 | Pamela Brown | Counselor | 1320 Central Park Blvd Ste 200, Fredericksburg, VA 22401-4953 | 2019-01-11 |
1962987693 | Amber Carpenter | Counselor | 1102 Hoke Ln, Fredericksburg, VA 22401-2641 | 2018-09-27 |
1053897868 | Joanne Thomas | Counselor | 150 Olde Greenwich Dr Ste 204, Fredericksburg, VA 22408-4002 | 2018-07-15 |
Find all providers in FREDERICKSBURG |
City | FREDERICKSBURG |
Zip Code | 78624 |
Please comment or provide details below to improve the information on MR. LARRY ELDON BURSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.