Organization Active NPI

Burrows Clinc

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1710161377
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BURROWS CLINC
Practice address
3514 E Berry St
Fort Worth, TX 76105-5305
Phone
(817) 531-2801
Fax
(817) 534-0652
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Larry G. Burrows, D.O.
Title
Owner
Phone
(817) 531-2081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3514 E Berry St
Fort Worth, TX 76105-5305

Mailing address

PO Box 123627
Fort Worth, TX 76121-3627
Phone (817) 531-2801

Other identifiers 1

IdentifierTypeStateIssuer
0051LBOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

3514 E Berry St
Ft Worth, TX 76105
Phone (817) 531-2801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1710161377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123627",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761213627",
            "telephone_number": "817-531-2801",
            "fax_number": "817-534-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 E BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761055305",
            "telephone_number": "817-531-2801",
            "fax_number": "817-534-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURROWS CLINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-531-2081",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0051LB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.