MEDICARE: MR. DARWIN MORTERA BIROG APRN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	1139937	TX

General Provider Information

NPI Number	:	1861336158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DARWIN MORTERA BIROG APRN, FNP-C

Provider Business Mailing Address
First Line	:	621 W SPRINGDALE LN
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-5002
Country	:	US
Telephone Number	:	405-605-9287
Fax Number	:

Provider Business Practice Location Address
First Line	:	621 W SPRINGDALE LN
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-5002
Country	:	US
Telephone Number	:	405-605-9287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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