Individual
TINA MARIE BORKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 WEST FRONT ST., TYLER, TX 75702
(660) 864-6295
Mailing address
719 WEST FRONT ST., TYLER, TX 75702
(660) 864-6295
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
34882
TX
103TC0700X
Clinical Psychologist
Primary
34882
TX
Other
Enumeration date
03/28/2012
Last updated
09/18/2017
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