Provider Demographics
NPI:1467276139
Name:BURTON, BECKY (RN)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:BURTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 SE 34TH AVE, STE 1500 #533 AMARILLO, TX 79118
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118
Mailing Address - Country:US
Mailing Address - Phone:806-220-3781
Mailing Address - Fax:
Practice Address - Street 1:14800 TWIN LAKES RD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-4629
Practice Address - Country:US
Practice Address - Phone:806-220-3781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health