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Organization

CHARLES BURK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES BURK D.O. (OWNER CEO)
(949) 713-3998
Entity
Organization

Contact information

Practice address
203 NACOGDOCHES ST STE 210, JACKSONVILLE, TX 75766-2455
(949) 713-3998
Mailing address
203 NACOGDOCHES ST STE 210, JACKSONVILLE, TX 75766-2455

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
11/04/2006
Last updated
07/29/2008
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