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NPI Code Detail

MEDICARE: SARA KAY ROARK NP

MEDICARE: SARA KAY ROARK NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP123357TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710227418
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA KAY ROARK NP
Provider Business Mailing Address
First Line : 6363 STATE HWY 161 STE 100
Second Line :
City : IRVING
State : TX
Zip : 75038-2239
Country : US
Telephone Number : 469-200-3272
Fax Number :
Provider Business Practice Location Address
First Line : 6363 STATE HWY 161 STE 100
Second Line :
City : IRVING
State : TX
Zip : 75038-2239
Country : US
Telephone Number : 817-732-2878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2013
Last Update Date : 05/23/2023

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