Charles Burk

Organization Active NPI Obstetrics & Gynecology Physician · Jacksonville, TX

NPI 1154400554 · NPPES record last updated Jul 29, 2008

Key facts

NPI
1154400554
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
CHARLES BURK
Practice address
203 Nacogdoches St Ste 210
Jacksonville, TX 75766-2455
Phone
(949) 713-3998
NPI assigned
Nov 4, 2006
Organization subpart
No

Authorized official

Name
Charles Burk, D.O.
Title
Owner Ceo
Phone
(949) 713-3998

National Provider Directory

Locations

203 Nacogdoches St
Ste 210
Jacksonville, TX 75766

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

203 Nacogdoches St Ste 210
Jacksonville, TX 75766-2455

Mailing address

203 Nacogdoches St Ste 210
Jacksonville, TX 75766-2455

Other providers in Jacksonville, TX

All providers in Jacksonville, TX · Obstetrics & Gynecology Physician in Texas

Sources for this page

Verify at the official NPI Registry.