KEITH WALTER BURCZAK DO NPI 1366904054

NPI Information

  • NPI: 1366904054
  • Provider Name: KEITH WALTER BURCZAK, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 3698 CHAMBERS PASS BLDG 4TH
    FORT SAM HOUSTON, TX
    ZIP 78234
  • Phone: (210) 539-3219

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NPI Details

Keith Walter Burczak, DO is a student in an organized health care education training program in Fort Sam Houston, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Keith Walter Burczak, DO NPI is 1366904054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3698 CHAMBERS PASS BLDG 4TH
FORT SAM HOUSTON, TX
ZIP 78234-766
Phone: (210) 539-3219

The enumeration date for this NPI number is 4/2/2019 and was last updated on 8/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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