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Toddy Jack, CEO
Contractor in Arlington, Texas
NPI 1831493063

Toddy Jack is a Contractor based in Arlington, TX. Toddy Jack practices in Arlington, TX and has the professional credentials of CEO. The NPI Number for Toddy Jack is 1831493063 and holds a License No. 4765290876 (Texas).

The current practice location address for Toddy Jack is 801 Road To Sixflags Street, Arlington, TX and can be reached out via phone at 817-461-0034 and via fax at 817-461-0035.

Location: 801 Road To Sixflags Street, Arlington, TX, 76012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831493063
Provider Name
Toddy Jack
Credential
CEO
Provider Entity Type
Individual
Gender
Male
Address
801 Road To Sixflags Street, Arlington, TX, 76012
Phone Number
817-461-0034
Fax Number
817-461-0035
Provider Enumeration Date
01/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6787445908 01 TX MULTIPLE LICENCE
institution
Provider Business Practice Location Address Details
Address
801 Road To Sixflags Street
City
Arlington
State
Texas
Zip
76012
Phone Number
817-461-0034
Fax Number
817-461-0035
person
Provider Business Mailing Address Details
Address
801 Road To Sixflags Street
City
Arlington
State
Texas
Zip
76012
Phone Number
817-461-0034
Fax Number
817-461-0035
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Oncology
Taxonomy
163WX0200X
License No.
345782195 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
4765290876 (Texas)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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