National Provider Identifier Database

ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC

NPI Number 1629034863
Legal business name
LBN
ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC
Authorized official JEFFREY DEHAAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/25/2006
Last updated 06/09/2009 - About 17 years ago
Sole proprietor1 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

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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