Provider Demographics
NPI:1891831020
Name:BURKET, PHILLIP E (MD)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:E
Last Name:BURKET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7800 SHOAL CREEK BLVD STE 205N
Mailing Address - Street 2:AUSTIN HEART PLLC
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1016
Mailing Address - Country:US
Mailing Address - Phone:512-206-4341
Mailing Address - Fax:512-407-1947
Practice Address - Street 1:2 SAINT MARKS PL
Practice Address - Street 2:STE. 160
Practice Address - City:LA GRANGE
Practice Address - State:TX
Practice Address - Zip Code:78945-1251
Practice Address - Country:US
Practice Address - Phone:979-242-5677
Practice Address - Fax:979-242-5680
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2022-01-19
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Provider Licenses
StateLicense IDTaxonomies
TXM6551207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0488397-06Medicaid
TX8L17794Medicare PIN
TX0488397-06Medicaid
C47583Medicare UPIN