TODDY JACK


Address: 801 Road To Sixflags Street, 144, Arlington, TX 76012
Phone: 8174610034

TODDY JACK (NPI# 1831493063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831493063
Entity Type Individual
Full Name TODDY JACK
Credential CEO
Practice Address 801 Road To Sixflags Street
144
Arlington
TX 76012
Practice Telephone 8174610034
Practice Fax Number 8174610035
Mailing Telephone 8174610034
Mailing Fax Number 8174610035
Enumeration Date 2011-01-03
Last Update Date 2011-01-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WX0200X Registered Nurse
Specialization: Oncology
4765290876 TX Nursing Service Providers
Y 171W00000X Contractor 345782195 TX Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MULTIPLE LICENCE 6787445908 01

Office Location

Street Address 801 ROAD TO SIXFLAGS STREET
144
City ARLINGTON
State TX
Zip Code 76012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366073736 Britney Beard Counselor 715 N Fielder Rd Ste A, Arlington, TX 76012 2020-02-04
1932762531 Devin Austin Deloe Speech-Language Pathologist Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 2019-04-18
1275000135 Soh of Texas Samson Liu Pllc Dentist 1625 Pecan Dr, Arlington, TX 76012 2018-10-30
1295200749 Eness, Inc. In Home Supportive Care 1321 West Randol Mill Road, #108, Arlington, TX 76012 2018-10-11
1073967626 Maya Alex Kuriakose Obstetrics & Gynecology 1001 N. Waldrop, Suite 505, Arlington, TX 76012 2016-04-20
1710359971 Amir Izaddoust Dentist 723 N. Fielder Rd, Suite E, Dallas, TX 76012 2015-10-28
1639553738 Alicia Rider Specialist/Technologist 1507 Cherokee Szt, Arlington, TX 76012 2015-07-17
1508274614 Neurodiagnostic Consultants, L.L.C. Specialist 1102 Orchard Drive, Arlington, TX 76012 2014-08-01
1578974663 Lan Ngoc Nguyen, Pharm.d.,,llc Pharmacy 1102 Orchard Dr., Suite B, Arlington, TX 76012 2014-05-12
1871854471 Takeisha Jones Occupational Therapy Assistant 532 Claire Ct, Arlington, TX 76012 2012-05-31
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699300913 Michelle N Mackey Contractor 932 Highcrest Dr, Arlington, TX 76017-5923 2020-03-06
1073043477 Nirak Investments Contractor 121 Moss Hill Dr, Arlington, TX 76018-4025 2017-06-18
1609316470 Micheal Lionell Freeman Contractor 5426 Rolling Green Rd, Arlington, TX 76017-6262 2017-02-27
1174072573 Ghada Karoum Contractor 7000 Lake Whitney Dr, Arlington, TX 76002-4024 2016-09-26
1104298660 Travonda Wilson Contractor 200 Parkmead Ct, Arlington, TX 76014-3157 2015-10-23
1841668407 Anthony Mcgaughey Contractor 4101 W Green Oaks Blvd # 548, Arlington, TX 76016-4462 2015-09-11
1588044424 Pamela Schmidt Contractor 211 First Ave. N., Arlington, MN 55307-0455 2015-06-05
1497094841 Vanguard Medreview Inc. Contractor 2732 Parkchester Dr, Arlington, TX 76015-1015 2013-02-05
1053695742 Allison Marie Russell Contractor 500 E Border St Ste 250, Arlington, TX 76010-7445 2011-09-29
1689974065 Roselyn Addy Jack Contractor 982 North Cooper Street, Arlington, TX 76011 2010-11-01
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City ARLINGTON
Zip Code 76012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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