MEDICARE: ORINDA M PALMER

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1609436005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORINDA M PALMER

Provider Business Mailing Address
First Line	:	2801 FOREST HOLLOW LN APT 301
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-3166
Country	:	US
Telephone Number	:	312-203-6227
Fax Number	:	817-516-9162

Provider Business Practice Location Address
First Line	:	2801 FOREST HOLLOW LN APT 301
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-3166
Country	:	US
Telephone Number	:	312-203-6227
Fax Number	:	817-516-9162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2019
Last Update Date	:	06/18/2019

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Directions to “ ORINDA M PALMER ” Practice Location

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