Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | Q7535 | TX |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 305446 | LA |
NPI | 1386900439 |
---|---|
Provider Name | Dr. Rebecca Vallier Burke |
First Address | San Antonio, TX 78232-2007 |
Second Address | New Orleans, LA 70112-3018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 12/06/2017 |