Individual provider · Type 1 NPI

Toddy Jack, CEO

Contractor · Arlington, TX

NPI number 1831493063 Active

Practice location

801 Road To Sixflags Street, 144
Arlington, TX 76012

Fax (817) 461-0035

Specialties and licenses

Taxonomy	Code	License
Oncology Registered Nurse	163WX0200X	4765290876 (TX)
Contractor Primary	171W00000X	345782195 (TX)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1831493063

Toddy Jack, CEO's National Provider Identifier is 1831493063, issued on Jan 3, 2011. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Arlington, TX. The record was last updated on Jan 3, 2011.