Tara L Burkett

NPI #1255685632 in Southlake, Texas

Provider Information

NPI Number
1255685632
Entity Type
Individual
Name
Tara L Burkett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Nov 6, 2012
Last Updated
Nov 6, 2012

Practice Location

Address
2425 E SOUTHLAKE BLVD
Address 2
#100
State
Texas
ZIP Code
76092-6674
Phone
(817) 442-0222

Specialties & Taxonomy Codes

Specialty
Specialist

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