Provider Demographics
NPI:1366487498
Name:BURKHART, STEPHEN S (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:S
Last Name:BURKHART
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 CONCORD PLAZA DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216
Mailing Address - Country:US
Mailing Address - Phone:210-593-1420
Mailing Address - Fax:210-593-1423
Practice Address - Street 1:150 E SONTERRA BLVD
Practice Address - Street 2:300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-489-7220
Practice Address - Fax:210-402-6257
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2017-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE6045207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2943535OtherCIGNA
TX8B8391OtherBCBS
TX4057101OtherAETNA
TX200042345OtherRAILROAD MEDICARE
TX117100104Medicaid
TX2943535OtherCIGNA