Provider Demographics
NPI:1902648975
Name:BURTS, KERRY BRIAN (RSPS)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:BRIAN
Last Name:BURTS
Suffix:
Gender:M
Credentials:RSPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10851 SCARSDALE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-5738
Mailing Address - Country:US
Mailing Address - Phone:281-824-1497
Mailing Address - Fax:281-727-0701
Practice Address - Street 1:10851 SCARSDALE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-5738
Practice Address - Country:US
Practice Address - Phone:281-824-1497
Practice Address - Fax:281-727-0701
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist