Provider Demographics
NPI:1659336295
Name:LK BURKS ENTERPRISES INC
Entity Type:Organization
Organization Name:LK BURKS ENTERPRISES INC
Other - Org Name:EAGLE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:KELVIN
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:409-283-7575
Mailing Address - Street 1:PO BOX 2099
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979-2099
Mailing Address - Country:US
Mailing Address - Phone:409-283-7575
Mailing Address - Fax:409-283-2326
Practice Address - Street 1:109 W LIVE OAK ST
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:TX
Practice Address - Zip Code:75979-5225
Practice Address - Country:US
Practice Address - Phone:409-283-7575
Practice Address - Fax:409-283-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2291003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB174Medicare ID - Type UnspecifiedAMBULANCE