Individual
MR. CODY LEE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, EMT
Contact information
Practice address
4001 SUMMERHILL RD, TEXARKANA, TX 75503-2764
(903) 794-3891
Mailing address
4001 SUMMERHILL RD, TEXARKANA, TX 75503-2764
(903) 794-3891
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
168141
TX
146N00000X
Basic Emergency Medical Technician
22756
AR
174H00000X
Health Educator
1634643
TX
2255A2300X
Athletic Trainer
Primary
AT4598
TX
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us