Provider Demographics
NPI:1689602310
Name:BURKE, ANNA SESSI (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:SESSI
Last Name:BURKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 UNICORN LAKE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0102
Mailing Address - Country:US
Mailing Address - Phone:940-383-1578
Mailing Address - Fax:940-382-0333
Practice Address - Street 1:3301 UNICORN LAKE BOULEVARD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-0102
Practice Address - Country:US
Practice Address - Phone:940-383-1578
Practice Address - Fax:940-382-0333
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7995207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00209972OtherRR MEDICARE
TX166197703Medicaid
TX166197704Medicaid
TX166197701Medicaid
TX166197707Medicaid
TX166197702Medicaid
TX8J0628OtherBCBS
TX8L8310Medicare PIN
TX8J0628OtherBCBS
TX166197702Medicaid
TX166197701Medicaid
TX8L8316Medicare PIN
TX8B7594Medicare PIN