Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | L4370 | TX |
N | 208200000X | Surgeon | L4370 | TX |
N | 208600000X | Surgeon | L4370 | TX |
NPI | 1023050754 |
---|---|
Provider Name | Arnold A Fikkert |
First Address | Fort Worth, TX 76199-0001 |
Second Address | Miramar, FL 33027-6308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 16/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020052541 | RAILROAD MEDICARE PIN (01) | TX |
151515701 | (05) | TX |
84037X | BCBS (01) | TX |
H63552 | (02) | TX |