Individual
CHARLES J BURCH
Active
Individual
CHARLES J BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K2657
TX
207RP1001X
Pulmonary Disease Physician
Primary
K2657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010KH
BLUE CROSS
TX
05
—
105831504
—
TX
01
—
8A7078
MEDICARE LEGACY NUMBER
TX
Enumeration date
07/07/2005
Last updated
10/31/2018
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