# BURKITT W JENSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952440992
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | P0236 | TX | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 05/08/2017

## 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 |