Durk, Roberta Ann

Durk, Roberta Ann is an individual health care provider with primary practice located at 4500 N Mesa St , El Paso TX 79912-6102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Durk, Roberta Ann can be contacted via phone (915) 532-9000.

Contact Information

Primary practice address
4500 N Mesa St El Paso TX 79912-6102
Phone: (915) 532-9000
Fax: (915) 532-9006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 601596 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 08620 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 601596 Texas

Profile Details

NPI number 1780829259
LBN Legal business name Durk, Roberta Ann
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Jun 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780829259 NPPES
Texas MEDICAID 201549708

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