Toddy Jack, CEO

Contractor · Arlington, TX

Individual Active NPI

NPI number 1831493063

Practice location

801 Road to Sixflags Street
144
Arlington, TX 76012
Phone
(817) 461-0034
Fax
(817) 461-0035

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NPI record

NPI
1831493063
Entity type
Individual (Type 1)
Enumeration date
January 3, 2011
Last updated
January 3, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X 345782195 TX
Oncology Registered Nurse 163WX0200X 4765290876 TX

About Toddy Jack

Toddy Jack, CEO is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 801 Road to Sixflags Street, 144, Arlington, TX 76012. The NPI number 1831493063 was assigned on January 3, 2011 and the record was last updated on January 3, 2011.

Toddy Jack lists 2 licenses in the registry: #345782195 (TX) for Contractor; #4765290876 (TX) for Oncology Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Toddy Jack, CEO?

The NPI number is 1831493063.

What is the phone number of Toddy Jack?

The phone number listed for the practice location is (817) 461-0034.

Where is Toddy Jack located?

801 Road to Sixflags Street, 144, Arlington, TX 76012.

What is the taxonomy code for Toddy Jack?

The primary taxonomy code is 171W00000X – Contractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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