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Individual
BURKITT W JENSEN
Active
Individual
BURKITT W JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P0236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368036501
—
TX
01
—
75-2616977-126
TRICARE
TX
01
—
8GM838
BCBS
TX
01
—
P01812738
RAIL ROAD MEDICARE
TX
Enumeration date
02/06/2007
Last updated
05/08/2017
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