Van Ark, Jurry E.

Van Ark, Jurry E. is an individual health care provider with primary practice located at 231 South Collins , Sunnyvale TX 75182-4624. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Van Ark, Jurry E. can be contacted via phone (877) 485-4474.

Contact Information

Primary practice address
231 South Collins Sunnyvale TX 75182-4624
Phone: (877) 485-4474
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04200 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17380 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04200 Texas

Profile Details

NPI number 1881688471
LBN Legal business name Van Ark, Jurry E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 19th, 2013 - about 13 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 1881688471 NPPES
Texas MEDICAID 216379203
Texas Other P01233936
Texas Other 8Y1192
Texas Other OPA173800
Texas MEDICAID 216379201
Texas MEDICAID 216379204
Texas MEDICAID 216379202
Texas MEDICAID PA17380

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