Individual
DR. RICHARD J BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
1770 E BROAD ST, SUITE 100, MANSFIELD, TX 76063
(817) 473-6969
(817) 225-0406
Mailing address
1770 E BROAD ST, SUITE 100, MANSFIELD, TX 76063
(817) 473-6969
(817) 225-0406
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G2258
TX
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
G2258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032152301
—
TX
Enumeration date
03/09/2006
Last updated
12/16/2008
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