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NPI Code Detail

MEDICARE: ARNOLD A FIKKERT DO

MEDICARE: ARNOLD A FIKKERT DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianL4370TX
2208600000XSurgery PhysicianL4370TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3020052541OTHERTXRAILROAD MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
284037XOTHERTXBCBS

General Provider Information

NPI Number : 1023050754
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARNOLD A FIKKERT DO
Provider Business Mailing Address
First Line : PO BOX 742712
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2712
Country : US
Telephone Number : 877-866-7123
Fax Number :
Provider Business Practice Location Address
First Line : 17218 PRESTON RD STE 2000
Second Line :
City : DALLAS
State : TX
Zip : 75252-4018
Country : US
Telephone Number : 877-866-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 06/13/2023

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Directions to “ ARNOLD A FIKKERT DO” Practice Location

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