Wendy Rourk, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05320 Issued in TX

Practice address

916 W. Illinois Ave.
Dallas, TX 75224-1855

Phone

(214) 941-7611

Fax

(214) 941-7818

NPI assigned

Apr 1, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1992094767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W. LAS COLINAS BLVD",
            "address_2": "SUITE 2000",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "972-957-3000",
            "fax_number": "972-236-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W. ILLINOIS AVE.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241855",
            "telephone_number": "214-941-7611",
            "fax_number": "214-941-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROURK",
        "first_name": "WENDY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saeed Rouhani
• Sarah Rouhani, SLP
• Christina Priscila Roullard, DO
• Janice F Rourk, LPCA
• Rebecca Rourk, NPC
• Carol L Rouse
• Kaitlyn White Roush, M.S., CCC-SLP
• Karen Sue Roush, MD
• Teresa Rousseau, D.C.
• Wyatt Rousseau, M.D.

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.