MEDICARE: DAVID SCOTT BURKETT 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
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	15538R	LA
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	K7675	TX
3	207RC0000X	Cardiovascular Disease Physician	K7675	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245258094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SCOTT BURKETT M.D.

Provider Business Mailing Address
First Line	:	1123 N MAIN AVE STE 110
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4739
Country	:	US
Telephone Number	:	210-225-4566
Fax Number	:	210-225-5727

Provider Business Practice Location Address
First Line	:	1123 N MAIN AVE STE 110
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4739
Country	:	US
Telephone Number	:	210-225-4566
Fax Number	:	210-225-5727

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	04/10/2023

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Directions to “ DAVID SCOTT BURKETT M.D.” Practice Location

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