| R Burks Ltd | |
|
9609 S University Blvd Unit 630015 Highlands Ranch CO 80163-3000 | |
| (720) 334-1864 | |
| Not Available |
| Full Name | R Burks Ltd |
|---|---|
| Speciality | Counselor |
| Location | 9609 S University Blvd Unit 630015, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Roderic Burks (PROVIDER) |
| Authorized Official Contact | 7203341864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R Burks Ltd 9609 S University Blvd Unit 630015 Highlands Ranch CO 80163-3000 Ph: (720) 334-1864 | R Burks Ltd 9609 S University Blvd Unit 630015 Highlands Ranch CO 80163-3000 Ph: (720) 334-1864 |
| NPI Number | 1750137006 |
|---|---|
| Provider Enumeration Date | 04/27/2024 |
| Last Update Date | 05/11/2024 |
| Certification Date | 05/11/2024 |
| Medicare PECOS PAC ID | 6507208949 |
|---|---|
| Medicare Enrollment ID | O20240530001739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750137006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Roderic Alton Burks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851812663 PECOS PAC ID: 7315389756 Enrollment ID: I20240530002214 |
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