ALTON WAYNE FUNDERBURK

AMARILLO, TX
NPI1891071643
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  678869)
Enumeration Date2011-10-25
Last Update Date2011-10-25
Business Address
-- ALTON WAYNE FUNDERBURK CRNA
1600 WALLACE BLVD
AMARILLO, TX 79106-1799
Phone number: 806-212-5803
Mailing Address
-- ALTON WAYNE FUNDERBURK CRNA
11884 MOORHEN CIR
FORT WORTH, TX 76244-7587
Phone number: 214-364-8028
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