Provider Demographics
NPI:1164408563
Name:BURKE, LUKE IGNATIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:IGNATIUS
Last Name:BURKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 NORTH LOOP WEST
Mailing Address - Street 2:SUITE 620
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1536
Mailing Address - Country:US
Mailing Address - Phone:713-868-4451
Mailing Address - Fax:713-868-7046
Practice Address - Street 1:1631 NORTH LOOP WEST
Practice Address - Street 2:SUITE 620
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1536
Practice Address - Country:US
Practice Address - Phone:713-868-4451
Practice Address - Fax:713-868-7046
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0656207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031305801Medicaid
TXG42295Medicare UPIN