Organization
OPEN AIR MRI OF AMARILLO, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALWORTH BURGE MD (PRESIDENT)
(806) 353-8333
Entity
Organization
Contact information
Practice address
7400 WALLACE BLVD, AMARILLO, TX 79106-1818
(806) 353-8333
(806) 353-8332
Mailing address
7400 WALLACE BLVD, AMARILLO, TX 79106-1818
(806) 353-8333
(806) 353-8332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G4358
—
TX
05
—
080684601
—
TX
Enumeration date
05/18/2006
Last updated
07/09/2010
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