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Contact Information

DURBA MISHRA, MD
1273 S PEACHTREE ST
JASPER, TX75951-4915
 Phone: 409-384-9200
 Fax: 409-384-9205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DURBA MISHRA · (Female)

NPI # 1588673008
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 09/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L0429
  • TX Medicaid 031495701
  • TX Medicaid 031495705
Hospital affiliation(s)
  • CHRISTUS JASPER MEMORIAL HOSPITAL - (Acute Care)
    1275 MARVIN HANCOCK DRIVE
    JASPER, TX 75951
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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