Individual
PATRICK WYLIE BURGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1130 BEACHVIEW ST STE 200, DALLAS, TX 75218-3705
(214) 321-9410
(214) 321-9437
Mailing address
PO BOX 180221, DALLAS, TX 75218-0221
(214) 321-9410
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3022
TX
Other
Enumeration date
03/23/2017
Last updated
10/30/2020
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