Individual provider · Type 1 NPI

Raven Burns, MD

Military Health Care Provider · Fort Sam Houston, TX

NPI number 1124726351 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (210) 916-3400 Map

Mailing address

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638

Other practice locations

  • 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 · (360) 908-7860

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1124726351

Raven Burns, MD's National Provider Identifier is 1124726351, issued on Feb 16, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on May 31, 2024.