Provider Demographics
NPI:1215240916
Name:BURKS MEDICAL CONSULTING
Entity type:Organization
Organization Name:BURKS MEDICAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-518-9300
Mailing Address - Street 1:305 REGENCY PKWY
Mailing Address - Street 2:413
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3794
Mailing Address - Country:US
Mailing Address - Phone:682-518-9300
Mailing Address - Fax:817-473-9272
Practice Address - Street 1:305 REGENCY PKWY
Practice Address - Street 2:413
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3794
Practice Address - Country:US
Practice Address - Phone:682-518-9300
Practice Address - Fax:817-473-9272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty