Organization
CHARLES J. BURCH, M.D., P.A.
Active
Organization
CHARLES J. BURCH, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J BURCH MD (MD/OWNER)
(210) 690-7400
Entity
Organization
Contact information
Practice address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Mailing address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K2657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160409201
—
TX
Enumeration date
10/30/2007
Last updated
02/10/2022
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