DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD R BURDEAUX SR., DO

Active

RICHARD R BURDEAUX SR., DO is a Family Medicine healthcare provider located in JACKSBORO, Tennessee. NPI 1538104773 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSBORO, TN

Registration Details

NPI Number
1538104773
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2006 (20.147410429554 yrs)
Last Updated
Jul 17, 2012
License
1037 (TN)

Practice Information

Address
2545 JACKSBORO PIKE
JACKSBORO, TN, 377574847
Browse TN providers · Browse ZIP 37757
Phone
4235668181
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in JACKSBORO, TN

Name Credential NPI
BRENT WEBB D.O. 1336178748
DR. THOMAS WAYNE ROBBINS DO 1942598305
MS. JENNIE M CARTER NP 1427423078
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.