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Contact Information

ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC
1002 TEXAS BLVD.
SUITE 501
TEXARKANA, TX75501
 Phone: 903-792-5005
 Fax: 903-791-1569
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC · (Female)

NPI # 1629034863
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2006
Last updated 06/09/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # G2594
  • AR Medicaid 131747002
  • OK Medicaid 100754980A
  • TX Medicaid 109415302
  • AR Other 85756 ARKANSAS BCBS
  • AR Other 5G239 ARKANSAS MEDICARE
  • TX Other 180802400 DEPT OF LABOR
  • TX Other CE7233 MEDICARE RAILROAD
  • TX Other 94AU TEXAS BCBS
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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