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Organization

DOUGLAS K. BURKE, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS KOSHIN BURKE M.D. (PRESIDENT)
(713) 654-7785
Entity
Organization

Contact information

Practice address
2000 CRAWFORD ST, SUITE 1405, HOUSTON, TX 77002-9000
(713) 654-7785
(713) 654-7795
Mailing address
2000 CRAWFORD ST, SUITE 1405, HOUSTON, TX 77002-9000
(713) 654-7785
(713) 654-7795

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0068MQ
BLUE CROSS BLUE SHIELD
TX
05
172737202
TX
Enumeration date
07/09/2006
Last updated
08/15/2008
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