MEDICARE: MICHAEL BURKE MD,FACS,FAAP

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	207T00000X	Neurological Surgery Physician	207T00000X	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	:	1538141932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BURKE MD,FACS,FAAP

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-1614
Country	:	US
Telephone Number	:	956-362-2171
Fax Number	:	956-362-8219

Provider Business Practice Location Address
First Line	:	2821 MICHAELANGELO DR
Second Line	:	STE 200
City	:	EDINBURG
State	:	TX
Zip	:	78539-1404
Country	:	US
Telephone Number	:	956-362-8215
Fax Number	:	956-362-8219

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

Provider Enumeration Date	:	11/19/2005
Last Update Date	:	01/19/2017

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