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ORTHODOMICILE
NPI 1245665306
Podiatrist in Texarkana, TX

Active since September 09, 2013
5510 SUMMERHILL RD, TEXARKANA, TX 75503(903) 792-2710 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orthodomicile NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHODOMICILE (NPI 1245665306) is a healthcare organization registered as a podiatrist in Texarkana, Texas and active in the NPI registry since September 2013. The organization lists Jennifer O'brien, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1245665306
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameORTHODOMICILE
Location Address5510 SUMMERHILL RDTexarkana, TX 75503-1822
Mailing Address5510 Summerhill RdTexarkana, TX 75503-1822 · (903) 792-2710
Phone(903) 792-2710
Organization SubpartNo
Authorized OfficialJennifer O'brienBilling Specialist · (816) 832-8804
Enumeration DateSeptember 9, 2013
✔ NPI 1245665306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in TX · 1411✔ Licensed in AR · 180
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5510 SUMMERHILL RD, Texarkana, TX 75503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLENN G PETTY D.P.M.
Podiatrist
5510 SUMMERHILL RD
TEXARKANA, TX 75503
Bowie County (903) 792-2710
ELIZABETH JEAN JACOBSEN FNP-C
Nurse Practitioner (Family)
5510 SUMMERHILL RD
TEXARKANA, TX 75503
Bowie County (903) 278-9566
FELICIA MARIE COOPWOOD MSN,APRN,FNP-C
Nurse Practitioner (Family)
5510 SUMMERHILL RD
TEXARKANA, TX 75503
Bowie County (903) 556-1402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthodomicile's NPI number?

The NPI number for Orthodomicile is 1245665306. It was assigned to this organization in the NPPES registry on September 9, 2013.

Where is Orthodomicile located?

Orthodomicile is located at 5510 Summerhill Rd, Texarkana, TX 75503. The listed phone number is (903) 792-2710.

What is Orthodomicile's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Orthodomicile was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.