LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA (NPI# 1437668951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437668951 |
| Entity Type | Organization |
| Organization Name | LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA |
| Practice Address |
1320 Nw John Jones Dr Burleson TX 76028-8040 |
| Practice Telephone | (817) 297-7100 |
| Practice Fax Number | 8172977193 |
| Mailing Telephone | 8172977100 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | MICHAEL BRANDON PETTKE (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8172977100 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1320 NW JOHN JONES DR |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-8040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730107889 | Michael Brandon Pettke | Chiropractor | 1320 Nw John Jones Dr, Burleson, TX 76028-8040 | 2006-07-17 |
| 1710432125 | Texas Integrated Healthcare Solutions LLC | Nurse Practitioner | 1320 Nw John Jones Dr, Burleson, TX 76028-8040 | 2016-08-16 |
| 1437540028 | Cameron G Craig | Chiropractor | 1320 Nw John Jones Dr, Burleson, TX 76028-8040 | 2015-02-18 |
| 1235319351 | M Brandon Pettke Dc Pa | Chiropractor | 1320 Nw John Jones Dr, Burleson, TX 76028-8040 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104247634 | Integrated Spinal Solutions, Pllc | General Practice | 649 Ne Alsbury Blvd Ste 105, Burleson, TX 76028-2660 | 2013-12-31 |
| 1275979189 | Bhavani Mysore Satyanarayana | General Practice | 11803 South Fwy, Ste 103, Burleson, TX 76028-7012 | 2013-05-18 |
| 1629290929 | Huguley Medical Associates, Inc | General Practice | 11801 South Fwy, Burleson, TX 76028 | 2007-05-03 |
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| Find all providers with the same taxonomy | ||||
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| 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.