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Individual

ARNOLD A FIKKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
17218 PRESTON RD STE 2000, DALLAS, TX 75252-4018
(877) 866-7123
Mailing address
PO BOX 742712, ATLANTA, GA 30374-2712
(877) 866-7123

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L4370
TX
208600000X
Surgery Physician
Primary
L4370
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020052541
RAILROAD MEDICARE PIN
TX
05
151515703
TX
01
84037X
BCBS
TX
Enumeration date
06/10/2006
Last updated
06/13/2023
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