Van Burkleo, Julia B
Van Burkleo, Julia B is an individual health care provider with primary practice located at 1111 N 6Th St , Longview TX 75601-5537. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Van Burkleo, Julia B can be contacted via phone (903) 753-7658.Contact Information
Primary practice address
1111 N 6Th St
Longview TX 75601-5537
Phone: (903) 753-7658
Fax: (903) 236-0385
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C6542 | Texas |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | C6542 | Texas |
Profile Details
NPI number | 1265409668 |
---|---|
LBN Legal business name | Van Burkleo, Julia B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Jan 24th, 2013 - about 11 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 | 1265409668 | NPPES |
Texas | MEDICAID | 113723405 |
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