MEDICARE: TANYA BURKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1216648	TX

General Provider Information

NPI Number	:	1497134662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA BURKS

Provider Business Mailing Address
First Line	:	5802 SARATOGA BLVD STE 300
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-4252
Country	:	US
Telephone Number	:	361-696-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5802 SARATOGA BLVD STE 300
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-4252
Country	:	US
Telephone Number	:	361-696-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2015
Last Update Date	:	12/05/2025

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Directions to “ TANYA BURKS ” Practice Location

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