Individual
DR. JOSEPH GEORGE BURCKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1414 GREEN OAK TERRACE CT STE 100, 100, KINGWOOD, TX 77339-2960
(281) 358-9889
(281) 358-1465
Mailing address
1414 GREEN OAK TERRACE CT STE 100, KINGWOOD, TX 77339-2960
(281) 358-9889
(281) 358-1465
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092844201
—
TX
01
—
218871601
MEDICAID DME
TX
Enumeration date
12/22/2005
Last updated
03/06/2013
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