Provider Demographics
NPI:1316911613
Name:BURNS, ALTON JAY (MD)
Entity type:Individual
Prefix:DR
First Name:ALTON
Middle Name:JAY
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16633 DALLAS PKWY
Mailing Address - Street 2:SUIE 350
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6816
Mailing Address - Country:US
Mailing Address - Phone:468-375-3838
Mailing Address - Fax:469-375-3840
Practice Address - Street 1:9101 N CENTRAL EXPY
Practice Address - Street 2:#600
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5927
Practice Address - Country:US
Practice Address - Phone:469-375-3838
Practice Address - Fax:469-375-3840
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2016-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF92582086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134011908Medicaid
TXE04503Medicare UPIN