Organization
BRAVURA FOOT AND ANKLE SPECIALISTS, PLLC
Active
Other names
Bravura FAS
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WYLIE BURGE DPM (OWNER)
(214) 321-9410
Entity
Organization
Contact information
Practice address
1130 BEACHVIEW ST STE 200, DALLAS, TX 75218-3705
(214) 321-9410
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
—
—
Other
Enumeration date
09/04/2020
Last updated
10/30/2020
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