Durba Mishra is a Adolescent Medicine in Jasper, Texas. Durba Mishra practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Durba Mishra is 1588673008. The last update date is 2023-09-12.
Durba Mishra's current location address is 1273 S Peachtree St, Jasper, Texas. You can contact this provider via phone number 4093849200 and fax number 4093849205. The mailing address for Durba Mishra is 1273 S Peachtree St, Jasper, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Durba Mishra |
|---|---|
| Address | 1273 S Peachtree St, Jasper, Texas |
| Phone Number | 4093849200 |
| Fax Number | 4093849205 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588673008 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2023-09-12 |
Provider Mailing Address Detail
| Address | 1273 S Peachtree St |
|---|---|
| City | Jasper |
| State | Texas (TX) |
| Post Code | 759514915 |
| Phone Number | 4093849200 |
| Fax Number | 4093849205 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | L0429 |
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Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31495701 | TX | -- | |
| 31495705 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Durba Mishra?
The Durba Mishra has been issued the NPI (National Provider Identifier) 1588673008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Durba Mishra is geographically located?
The Durba Mishra is physically situated at the following location: 1273 S Peachtree St, Jasper, TX, 759514915.
What is Durba Mishra's specialized field of practice, and what is the corresponding taxonomy classification code?
The Durba Mishra's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588673008 to Durba Mishra?
The Centers for Medicare & Medicaid Services assigned the 1588673008 to Durba Mishra on 2006-08-05.
As of what date were the details pertaining to Durba Mishra last refreshed?
The information related to the Durba Mishra, including its address, specialty, and other relevant details, was last updated on 2023-09-12.