Most Relevant Information
Provider Data
| NPI Number: | 1003259896 |
| Provider Name: | LANDON TYLER BURNS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2013 |
| Last Updated: | 03/27/2023 |
Provider Practice Location
120 STONE CREEK BLVD STE 500
FLOWOOD
MS
392328210
Practice Location Phone/Fax
| Phone: | 6014202040 |
| Fax: | 8553435763 |
Provider Mailing Location
PO BOX 649113
DALLAS
TX
752649113
Provider Mailing Phone/Fax
| Phone: | 8553435763 |
| Fax: | 8553435763 |