Provider Demographics
NPI:1366633034
Name:BURGE-MARTIN, TOVA LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:TOVA
Middle Name:LYNN
Last Name:BURGE-MARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TOVA
Other - Middle Name:LYNN
Other - Last Name:BURGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12400 DALLAS PKWY
Mailing Address - Street 2:LABOR & DELIVERY
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4298
Mailing Address - Country:US
Mailing Address - Phone:469-495-2000
Mailing Address - Fax:
Practice Address - Street 1:12400 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4298
Practice Address - Country:US
Practice Address - Phone:469-495-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248775207V00000X
TXN4967207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1508004Medicaid