Burkett, Richard J

Burkett, Richard J is an sole proprietor health care provider with primary practice located at 1770 E Broad St Suite 100, Mansfield TX 76063. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Burkett, Richard J can be contacted via phone (817) 473-6969.

Contact Information

Primary practice address
1770 E Broad St Suite 100 Mansfield TX 76063
Phone: (817) 473-6969
Fax: (817) 225-0406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G2258 Texas
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X G2258 Texas

Profile Details

NPI number 1578531059
LBN Legal business name Burkett, Richard J
Credentials M.D., P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Dec 16th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578531059 NPPES
Texas MEDICAID 032152301

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