BURTON J ZUNG (NPI# 1386713691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386713691 |
| Entity Type | Individual |
| Full Name | BURTON J ZUNG |
| Credential | PHD |
| Practice Address |
5658 Wescreek Dr Ste 400 Ste 400 Fort Worth TX 76133 |
| Mailing Address |
5658 Westcreek Dr Ste 400 Fort Worth TX 76133-2254 |
| Practice Telephone | 9724249212 |
| Practice Fax Number | 9725091450 |
| Mailing Telephone | 9724249212 |
| Mailing Fax Number | 9725091450 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 21099 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS LICENSE | 21099 | 01 |
| TX | BLUE CROSS | 00U49F | 01 |
| Street Address |
5658 WESCREEK DR STE 400 STE 400 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700101433 | Michael Glenn Hightower | Clinical Neuropsychologist | 6 Lucas Ln, Fort Worth, TX 76134-3407 | 2010-04-06 |
| 1891996963 | Christopher Anagnostis | Clinical Neuropsychologist | 6410 Southwest Blvd, Suite 105, Fort Worth, TX 76109 | 2007-05-29 |
| 1962589507 | Marsha T Gabriel | Clinical Neuropsychologist | 429 S Ballinger St, Fort Worth, TX 76104-1008 | 2006-11-01 |
| 1164507273 | Beth Colaluca | Clinical Neuropsychologist | 1516 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-26 |
| 1053300350 | Robert P Odgers | Clinical Neuropsychologist | 1814 8th Ave, B, Fort Worth, TX 76110-1354 | 2005-10-19 |
| 1508863036 | Clifford Alan Hopewell | Clinical Neuropsychologist | 1015 Pennsylvania Ave, Ste 2, Fort Worth, TX 76104-2259 | 2005-06-30 |
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1699073114 | Robert Scott Hilborn | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2011-03-08 |
| 1427084193 | Sidney E O'bryant | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2006-06-24 |
| 1922060078 | Alan Belmore Frol | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2006-04-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76133 |
Please comment or provide details below to improve the information on BURTON J ZUNG.
| 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.