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Individual
DR. KEITH ALLEN BURKE
Active
Individual
DR. KEITH ALLEN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
91294
SC
207Q00000X
Family Medicine Physician
S3642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39737373
—
NM
05
—
405651701
—
TX
01
—
884228
MEDICARE
TX
01
—
8LU873
BCBS
TX
05
—
912944
—
SC
01
—
SCS3549443
MEDICARE
SC
Enumeration date
03/22/2016
Last updated
07/05/2024
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