John C Burkett
Individual provider Active NPI Oxygen Equipment & Supplies (DME) · White Oak, TX
NPI 1164533568 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164533568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- 0075000 (TX)
- Practice address
- 107 W US Highway 80
White Oak, TX 75693-2003 - Phone
- (903) 295-0857
- Fax
- (903) 295-3958
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0075000 | TX | MD | Oxygen Equipment & Supplies (DME) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0075000 | TX | Yes |
Addresses
Primary practice location
107 W US Highway 80
White Oak, TX 75693-2003
Mailing address
107 W US Highway 80
White Oak, TX 75693-2003
Phone (903) 295-0857
Other providers in White Oak, TX
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- Courtney Brantley
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- Craig Eye Associates
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All providers in White Oak, TX · Oxygen Equipment & Supplies (DME) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.