Burk, Roberta Jane

Burk, Roberta Jane is an individual health care provider with primary practice located at 647 S Great Southwest Pkwy Ste 103 , Grand Prairie TX 75051-1007. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Burk, Roberta Jane can be contacted via phone (817) 595-3700.

Contact Information

Primary practice address
647 S Great Southwest Pkwy Ste 103 Grand Prairie TX 75051-1007
Phone: (817) 595-3700
Fax: (817) 595-3701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 81316 Texas

Profile Details

NPI number 1659963833
LBN Legal business name Burk, Roberta Jane
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2021
Last updated Apr 25th, 2024 - about 2 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 1659963833 NPPES
Texas Other 81316 TEXAS AUDIOLOGIST LICENSE

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