Individual
DR. DANIELLE BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1250 8TH AVE, STE 445, FORT WORTH, TX 76104-4124
(817) 923-0022
(817) 921-2801
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 921-2801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N9521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285891201
—
TX
Enumeration date
06/09/2008
Last updated
02/28/2012
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