Roark, Sara Kay

Roark, Sara Kay is an individual health care provider with primary practice located at 6363 State Hwy 161 Ste 100 , Irving TX 75038-2239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roark, Sara Kay can be contacted via phone (817) 732-2878.

Contact Information

Primary practice address
6363 State Hwy 161 Ste 100 Irving TX 75038-2239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP123357 Texas

Profile Details

NPI number 1710227418
LBN Legal business name Roark, Sara Kay
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated May 23rd, 2023 - about 3 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 1710227418 NPPES
Texas MEDICAID 324359401

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