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Ethan Alexander Burns

Internal Medicine

Allopathic & Osteopathic Physicians

6445 Main St Fl 24, Houston, TX 77030-1502

PECOS Enrollment

This provider is enrolled in PECOS as ETHAN BURNS.

Based on the most recent information from CMS, provider Ethan Alexander Burns is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1962933705
Provider Type
Individual
Full Name
Burns, Ethan Alexander
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/23/2017
Last Updated
5/23/2023

Contact Information

Practice Location

6445 Main St Fl 24, Houston, TX 77030-1502

(713) 441-9948

(713) 441-8791

Mailing Location

6445 Main St Fl 24, Houston, TX 77030-1502

(713) 441-9948

(713) 441-8791

Provider Taxonomies

Code	Description	License
Code 207RH0003X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License T9065 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ethan Alexander Burns

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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