Individual
VERNON BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
10175 GATEWAY BLVD W, SUITE 304, EL PASO, TX 79925-7618
(915) 504-6880
(915) 599-8579
Mailing address
10175 GATEWAY BLVD W, SUITE 304, EL PASO, TX 79925-7618
(915) 504-6880
(915) 599-8579
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
25153
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
25153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447430178
—
TX
Enumeration date
11/09/2007
Last updated
06/11/2024
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