MEDICARE: DR. WILLIAM S 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
1	207R00000X	Internal Medicine Physician	F6491	TX
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	F6491	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	:	1609879378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM S BURKES M.D.

Provider Business Mailing Address
First Line	:	85 IH10 N, SUITE 202
Second Line	:	STE 1
City	:	BEAUMONT
State	:	TX
Zip	:	77707-2500
Country	:	US
Telephone Number	:	409-835-0995
Fax Number	:	409-835-3700

Provider Business Practice Location Address
First Line	:	85 IH10 N, SUITE 202
Second Line	:	STE 1
City	:	BEAUMONT
State	:	TX
Zip	:	77707-2500
Country	:	US
Telephone Number	:	409-835-0995
Fax Number	:	409-835-3700

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/19/2019

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Directions to “ DR. WILLIAM S BURKES M.D.” Practice Location

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