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1881155919
MARK ALAN BURROUGHS
DALLAS, TX
NPI
1881155919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: TX BP10066630)
Enumeration Date
2019-03-29
Last Update Date
2019-03-29
Business Address
MARK ALAN BURROUGHS
1441 N BECKLEY AVE
DALLAS, TX 75203-1201
Phone number: 214-947-8181
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Mailing Address
MARK ALAN BURROUGHS
5111 JARVIS ST
LUBBOCK, TX 79416-7206
Phone number: 940-395-4425
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