MEDICARE: DURBIN FAMILY PRACTICE PA

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	207Q00000X	Family Medicine Physician	H9902	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1992973051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DURBIN FAMILY PRACTICE PA

Provider Business Mailing Address
First Line	:	319 OSLER DR
Second Line	:	STE 160
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5407
Country	:	US
Telephone Number	:	817-640-5412
Fax Number	:	817-633-6630

Provider Business Practice Location Address
First Line	:	319 OSLER DR
Second Line	:	STE 160
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5407
Country	:	US
Telephone Number	:	817-640-5412
Fax Number	:	817-633-6630

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. SHERRIL E DURBIN
Credential	:	D.O.
Telephone Number	:	817-640-5412

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	05/30/2012

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Directions to “DURBIN FAMILY PRACTICE PA ” Practice Location

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