Individual
COURTNEY ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9528 WEBB CHAPEL RD, DALLAS, TX 75220-4938
(214) 357-7311
(214) 352-8150
Mailing address
9528 WEBB CHAPEL RD, DALLAS, TX 75220-4938
(214) 357-7311
(214) 352-8150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H6549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117051604
—
TX
Enumeration date
07/18/2006
Last updated
06/01/2010
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