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NPI Code Detail

MEDICARE: JONATHAN BURKES M.D.

MEDICARE: JONATHAN BURKES M.D.
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
1207X00000XOrthopaedic Surgery Physician65095MN
2390200000XStudent in an Organized Health Care Education/Training Program94-08387KS
3207X00000XOrthopaedic Surgery PhysicianS5855TX

General Provider Information

NPI Number : 1538571609
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN BURKES M.D.
Provider Business Mailing Address
First Line : 5615 DEAUVILLE STE 220
Second Line :
City : MIDLAND
State : TX
Zip : 79706-2707
Country : US
Telephone Number : 432-686-0321
Fax Number : 432-686-0664
Provider Business Practice Location Address
First Line : 5615 DEAUVILLE STE 220
Second Line :
City : MIDLAND
State : TX
Zip : 79706-2707
Country : US
Telephone Number : 432-686-0321
Fax Number : 432-686-0664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2014
Last Update Date : 12/07/2021

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