Orthopedic Specialists Of Texarkana Pllc, NPI 1629034863
Specialist in Texarkana, TEXAS, UM
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1629034863 |
| NPI Entity Type | Organization |
| Provider Name | Orthopedic Specialists Of Texarkana Pllc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1002 Texas Blvd., Suite 501, Texarkana, TEXAS, UM |
| Provider Mailing Address | Po Box 7648, Texarkana, TX, US, 755057648 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD Jeffrey Thomas Dehaan |
| Official Position | CEO |
| Phone | 903-792-5005 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Specialist |
| Classification | |
| Group | |
| License No. | G2594 |
| License State | TX |
| Description | 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 5G239 | AR | ARKANSAS MEDICARE | 01 |
| 109415302 | TX | MEDICAID | 05 |
| 100754980A | OK | MEDICAID | 05 |
| 131747002 | AR | MEDICAID | 05 |
| 94AU | TX | TEXAS BCBS | 01 |
| CE7233 | TX | MEDICARE RAILROAD | 01 |
| 85756 | AR | ARKANSAS BCBS | 01 |
| 180802400 | TX | DEPT OF LABOR | 01 |
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D.M.D. Edith Osorio Individual |
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Zeitgeist Wellness Group Organization |
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Orthopedic Specialists Of Texarkana Pllc Organization |
1002 Texas Blvd. Suite 501 |
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Community For Human Resource Dev. Inc Organization |
7707 Fannin |
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