Charles Burk
Obstetrics & Gynecology in Jacksonville, TX. Organization (NPI-2).
NPI number1154400554
StatusActive
Last updated in NPPESJul 29, 2008
Details
- NPI
- 1154400554
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles Burk
- Organization subpart
- No
- Enumeration date
- Nov 4, 2006
- Last updated
- Jul 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
203 Nacogdoches St Ste 210Jacksonville, TX 75766-2455
Phone 949-713-3998
Mailing address
203 Nacogdoches St Ste 210Jacksonville, TX 75766-2455
Authorized official
Charles Burk
Owner Ceo
9497133998
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Other Obstetrics & Gynecology Physician providers in Jacksonville, TX
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