# MARY F BURGESSER MDPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARY F BURGESSER-HOWARD MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346737046
- **Authorized official:** MR. JEFF BARBER (MGR)
- **Authorized official phone:** (806) 355-6593

## Contact information

- **Practice address:** 1420 W EXCHANGE PKWY STE 120, ALLEN, TX 75013-4696
- **Practice address phone:** (972) 521-6210
- **Mailing address:** PO BOX 8337, AMARILLO, TX 79114-8337
- **Mailing address phone:** (806) 355-6593
- **Mailing address fax:** (806) 352-8774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 208D00000X | General Practice Physician | K4005 | TX | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 04/18/2018