Provider Demographics
NPI:1447257837
Name:BURLINGAME, ROBERT GEROGE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GEROGE
Last Name:BURLINGAME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1625 N HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2815
Mailing Address - Country:US
Mailing Address - Phone:903-892-3282
Mailing Address - Fax:903-813-1872
Practice Address - Street 1:1625 N HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2815
Practice Address - Country:US
Practice Address - Phone:903-892-3282
Practice Address - Fax:903-813-1872
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4880207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132876703Medicaid
TXB21925Medicare UPIN
TX82660BMedicare ID - Type Unspecified