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Individual
JURRY E. VAN ARK
Active
Individual
JURRY E. VAN ARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2025014310
MO
363A00000X
Physician Assistant
Primary
PA04200
TX
363AM0700X
Medical Physician Assistant
2025014310
MO
363AM0700X
Medical Physician Assistant
PA04200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216379201
—
TX
05
—
216379202
—
TX
05
—
216379203
—
TX
05
—
216379204
—
TX
01
—
8Y1192
BLUE CROSS BLUE SHIELD
TX
01
—
P01233936
RAILROAD MCARE
TX
Enumeration date
09/09/2005
Last updated
11/23/2025
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