Healthcare Provider Details

I. General information

NPI: 1487283560
Provider Name (Legal Business Name): MICHAEL ARON BURKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 YELLOWSTONE BLVD
HOUSTON TX
77054-2214
US

IV. Provider business mailing address

2637 N 400 E STE 164
NORTH OGDEN UT
84414-2240
US

V. Phone/Fax

Practice location:
  • Phone: 205-967-7116
  • Fax:
Mailing address:
  • Phone: 214-970-6817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberU0082
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: