ORTHODOMICILE
Podiatry at Summerhill Rd, Texarkana, TX

License number
Texas 1411
Category
Podiatry
Type
Podiatrist
License number
Texas 180
Category
Podiatry
Type
Podiatrist
Owner
Name: JENNIFER O'BRIEN
Title: BILLING SPECIALIST
Phone: (816) 832-8804
Address
Address
5510 Summerhill Rd, Texarkana, TX 75503
National Provider ID: 1245665306
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ORTHODOMICILE at bizstanding.com

ORTHODOMICILE, PA

5510 Summerhill Rd, Texarkana, TX 75503

Registration:
Sep 23, 2010
State ID:
0801322790
Business type:
Professional Association
Secretary, Executive Committee, Member, President:
Glenn G. Petty (Secretary, Executive Committee, Member, President)
TIN:
32042696784

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