Active NPI
Burks & Johnson Management
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1265896963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BURKS & JOHNSON MANAGEMENT
- Practice address
- 6138 Walraven Cir
Ste a & B
Fort Worth, TX 76133-2769 - Phone
- (682) 518-9300
- Fax
- (817) 473-9272
- NPI assigned
- Apr 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Connie F Burks
- Title
- Co Owner
- Phone
- (682) 518-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6138 Walraven Cir
Ste a & B
Fort Worth, TX 76133-2769
Mailing address
2771 E Broad St
Ste 217
Mansfield, TX 76063-9156
Phone (682) 518-9300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468281600000",
"number": "1265896963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2771 E BROAD ST",
"address_2": "STE 217",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639156",
"telephone_number": "682-518-9300",
"fax_number": "817-473-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6138 WALRAVEN CIR",
"address_2": "STE A & B",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761332769",
"telephone_number": "682-518-9300",
"fax_number": "817-473-9272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURKS & JOHNSON MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-08",
"last_updated": "2016-07-12",
"status": "A",
"authorized_official_last_name": "BURKS",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "682-518-9300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.