Provider Demographics
NPI:1194004903
Name:BURK, JILL LEEDER (DC)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:LEEDER
Last Name:BURK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 BELLAIRE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4454
Mailing Address - Country:US
Mailing Address - Phone:713-490-2225
Mailing Address - Fax:713-490-2226
Practice Address - Street 1:5107 BELLAIRE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4454
Practice Address - Country:US
Practice Address - Phone:713-490-2225
Practice Address - Fax:713-490-2226
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2023-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXCHR-6713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor