Provider Demographics
NPI:1699315390
Name:BURKE CHILDRENS PLLC
Entity type:Organization
Organization Name:BURKE CHILDRENS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-584-3316
Mailing Address - Street 1:900 WEST JACKSON AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506
Mailing Address - Country:US
Mailing Address - Phone:281-487-5437
Mailing Address - Fax:
Practice Address - Street 1:900 WEST JACKSON AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506
Practice Address - Country:US
Practice Address - Phone:281-487-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty