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Contact Information

TINA M BORKE
719 WEST FRONT ST.
TYLER, TX75702
 Phone: 660-864-6295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for TINA M BORKE · (Female)

NPI Number 1144596792
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2012
Last updated 09/18/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 34882
Hospital affiliation(s) Not Available
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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