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Nicholas Joseph Burkholder

NPI Registration Record

Provider / OrganizationNPIDate Certified
NICHOLAS JOSEPH BURKHOLDER19226924172023-08-13

Nicholas Joseph Burkholder is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922692417. Registration indicates Nicholas Joseph Burkholder is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)

Entity TypeIndividual
Provider Name Nicholas Joseph Burkholder MD
Practice Office Address3551 ROGER BROOKE DR
JBSA FT SAM HOU, TX US
Practice Office Telephone2109165910
Practice Office Fax2109162077
Mailing Address3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 782344504 US
Business Telephone2109165910
Business Fax2109162077
HPT Codes
CodePractice
License No
State
208D00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
General PracticeAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
General Practice
Allopathic & Osteopathic Physicians
General Practice
General Practice

Primary Care/Family Planning/APRN/PA

General Practice
Allopathic & Osteopathic Physicians
0101276648
VA
OPI Codes
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