Individual provider · Type 1 NPI

Tara L. Burkett

Specialist · Southlake, TX

NPI number 1255685632 Active

Practice location

2425 E Southlake Blvd, #100
Southlake, TX 76092-6674

Fax (817) 442-0223

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X109811 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255685632

Tara L. Burkett's National Provider Identifier is 1255685632, issued on Nov 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southlake, TX. The record was last updated on Nov 6, 2012.