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1841468360
WALWORTH EDWARD BURGE
FORT WORTH, TX
NPI
1841468360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX H3447)
Enumeration Date
2008-02-19
Last Update Date
2013-05-08
Business Address
-- WALWORTH EDWARD BURGE MD
815 PENNSYLVAINIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0387
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Mailing Address
-- WALWORTH EDWARD BURGE MD
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0387
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