Burket, Phillip E
Burket, Phillip E is an individual health care provider with primary practice located at 2 Saint Marks Pl Ste. 160, La Grange TX 78945-1251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Burket, Phillip E can be contacted via phone (979) 242-5677.Contact Information
Primary practice address
2 Saint Marks Pl Ste. 160
La Grange TX 78945-1251
Phone: (979) 242-5677
Fax: (979) 242-5680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M6551 | Texas |
Profile Details
| NPI number | 1891831020 |
|---|---|
| LBN Legal business name | Burket, Phillip E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jan 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891831020 | NPPES |
| Texas | MEDICAID | 0488397-06 |
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