Individual
DR. JULIA B VAN BURKLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 N 6TH ST, LONGVIEW, TX 75601-5537
(903) 753-7658
(903) 236-0385
Mailing address
PO BOX 847176, DALLAS, TX 75284-7176
(903) 237-1800
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C6542
TX
207VG0400X
Gynecology Physician
C6542
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113723405
—
TX
Enumeration date
03/03/2006
Last updated
01/24/2013
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