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Tonsel Jack
Pedorthist in Arlington, Texas
NPI 1538822689

Tonsel Jack is a Pedorthist based in Arlington, TX. Tonsel Jack practices in Arlington, TX. The NPI Number for Tonsel Jack is 1538822689 and holds a License No. (Texas).

The current practice location address for Tonsel Jack is 1301 E Bardin Rd Unit 181801, Arlington, TX and can be reached out via phone at 866-488-4546 and via fax at 178-210-6624.

Location: 1301 E Bardin Rd Unit 181801, Arlington, TX, 76096-4272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538822689
Provider Name
Tonsel Jack
Credential
Provider Entity Type
Individual
Gender
Male
Address
1301 E Bardin Rd Unit 181801, Arlington, TX, 76096-4272
Phone Number
866-488-4546
Fax Number
178-210-6624
Provider Enumeration Date
10/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
871002728 01 TX PEDORTHIST
institution
Provider Business Practice Location Address Details
Address
1301 E Bardin Rd Unit 181801
City
Arlington
State
Texas
Zip
76096-4272
Phone Number
866-488-4546
Fax Number
178-210-6624
person
Provider Business Mailing Address Details
Address
1301 E Bardin Rd Unit 181801
City
Arlington
State
Texas
Zip
76096-4272
Phone Number
866-488-4546
Fax Number
178-210-6624
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
()
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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