Individual
RONALD G BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4405
(682) 885-4407
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-4734
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
H7591
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
H7591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
01
—
10008081
AMERIGROUP PIN
TX
01
—
124032
SUPERIOR PIN
TX
01
—
133133100
FIRSTCARE PIN
TX
05
—
137345810
—
TX
05
—
140442852
—
TX
05
—
155848803
—
TX
01
—
155848804
CSHCN
TX
01
—
1850793
FIRSTHEALTH PIN
TX
01
—
2278186
UHC PIN
TX
01
—
4201830
CIGNA PIN
TX
01
—
7424364
AETNA PIN
TX
01
—
8G3391
BCBSTX IND PIN
TX
Enumeration date
08/12/2006
Last updated
04/02/2012
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