Provider / Organization | NPI | Date Certified |
---|---|---|
KELLI VALENCIA BURROUGHS | 1104062678 | 2024-11-08 |
Kelli V Burroughs [F] graduated in 2005 from Medical University Of South Carolina College Of Medicine and primarily specializes in Obstetrics/gynecology.
Kelli Valencia Burroughs is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104062678. Registration indicates Kelli Valencia Burroughs is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to OB/GYN (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
PECOS ID | 547314072 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Miss Kelli Valencia Burroughs M.D. |
Practice Office Address | 17510 W. GRAND PKWY S STE 430 SUGAR LAND, TX US |
Practice Office Telephone | 7134861250 |
Mailing Address | 6431 FANNIN ST # 3.286 HOUSTON, TX 770301501 US |
Business Telephone | 7134861250 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | BPI-0022356
TX |
207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | N2973
TX |