Healthcare Provider Details

I. General information

NPI: 1700457199
Provider Name (Legal Business Name): ORLANDRA SCALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SIENNA DR
ARLINGTON TX
76002-3683
US

IV. Provider business mailing address

1501 SIENNA DR
ARLINGTON TX
76002-3683
US

V. Phone/Fax

Practice location:
  • Phone: 682-277-5868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: