Van Burkleo, Julia B

Van Burkleo, Julia B is an individual health care provider with primary practice located at 1111 N 6Th St , Longview TX 75601-5537. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Van Burkleo, Julia B can be contacted via phone (903) 753-7658.

Contact Information

Primary practice address
1111 N 6Th St Longview TX 75601-5537
Phone: (903) 753-7658
Fax: (903) 236-0385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C6542 Texas
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X C6542 Texas

Profile Details

NPI number 1265409668
LBN Legal business name Van Burkleo, Julia B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jan 24th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265409668 NPPES
Texas MEDICAID 113723405

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