Provider Demographics
NPI:1043764350
Name:BURKE, MEGAN K (PA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:K
Last Name:BURKE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:1700 FM 544
Mailing Address - Street 2:STE 100
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4915
Mailing Address - Country:US
Mailing Address - Phone:972-394-4600
Mailing Address - Fax:972-394-4622
Practice Address - Street 1:1700 FM 544 STE 100
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056
Practice Address - Country:US
Practice Address - Phone:972-394-4600
Practice Address - Fax:972-394-4622
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2019-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA10632363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical