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Individual
BETHANY KEARNS BURGE
Active
Individual
BETHANY KEARNS BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
125060265
IL
208800000X
Urology Physician
Primary
U1870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036140193
STATE LICENSE
IL
01
—
U1870
TEXAS MEDICAL BOARD
TX
Enumeration date
03/21/2011
Last updated
10/17/2023
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