Orthodomicile

NPI 1245665306 - Podiatrist - 213E00000X

NPI Details
NPI 1245665306
Enumeration Date 09/09/2013
Last Updated 09/09/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JENNIFER JENNIFER
Position BILLING SPECIALIST
Phone (903) 792-2710
Fax
Practice Location
5510 SUMMERHILL RD
TEXARKANA TX, 75503-1822, US
Phone (903) 792-2710
Fax
Business Location
5510 SUMMERHILL RD
TEXARKANA TX, 75503-1822, US
Phone (903) 792-2710
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Arkansas
License Number 180
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According to our database, Orthodomicile NPI is 1245665306, taxonomy code is 213E00000X and license number is 180, license state is located at Arkansas. Orthodomicile physically located at 5510 Summerhill Rd, Texarkana TX, 75503-1822. NPI Number 1033115704 has the healthcare provider type.

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1245665306 NPI number is provided on an as is basis without warranty of any kind. 1245665306 is maintained by the National Plan & Provider Enumeration System. The contents of Orthodomicile are for informational purposes only.