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NPI Code Detail

MEDICARE: BURKE CENTER

MEDICARE: BURKE CENTER
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
12084P0800XPsychiatry PhysicianH8939TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200AA26OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1396792420
Entity Type Code : Organization
Provider Name (Legal Business Name) : BURKE CENTER
Provider Business Mailing Address
First Line : 2001 S MEDFORD DR
Second Line :
City : LUFKIN
State : TX
Zip : 75901-6260
Country : US
Telephone Number : 936-633-5650
Fax Number : 936-633-5695
Provider Business Practice Location Address
First Line : 2001 S MEDFORD DR
Second Line :
City : LUFKIN
State : TX
Zip : 75901-6260
Country : US
Telephone Number : 936-633-5650
Fax Number : 936-633-5695
Authorized Official
Title or Position : REVENUE CYCLE ADMINISTRATOR
Name : MRS. TERI SMITH
Credential :
Telephone Number : 936-633-5651
Provider Enumeration Date : 05/26/2006
Last Update Date : 06/12/2024

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1548310147 — BURKE CENTER
Practice Location Address:
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LUFKIN, TX
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1164572772 — BURKE CENTER
Practice Location Address:
2001 S MEDFORD DR
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75901-6260
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Directions to “BURKE CENTER ” Practice Location

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