Provider Demographics
NPI:1609879378
Name:BURKES, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:BURKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:85 IH10 N, SUITE 202
Mailing Address - Street 2:STE 1
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-2500
Mailing Address - Country:US
Mailing Address - Phone:409-835-0995
Mailing Address - Fax:409-835-3700
Practice Address - Street 1:85 IH10 N, SUITE 202
Practice Address - Street 2:STE 1
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2500
Practice Address - Country:US
Practice Address - Phone:409-835-0995
Practice Address - Fax:409-835-3700
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF6491207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135412806Medicaid
TXC13951Medicare UPIN
TX135412806Medicaid