Provider Demographics
NPI:1194757328
Name:BURK, LINDA L (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:BURK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1703 N BECKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1007
Mailing Address - Country:US
Mailing Address - Phone:214-987-2875
Mailing Address - Fax:214-946-9820
Practice Address - Street 1:1703 N BECKLEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1007
Practice Address - Country:US
Practice Address - Phone:214-987-2875
Practice Address - Fax:214-946-9820
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2016-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2998207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114143401Medicaid
TXC13943Medicare UPIN
TX114143401Medicaid