Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Orthodomicile

Organization Podiatrist · NPI 1245665306

Orthodomicile provides Podiatrist services in Texarkana, Texas. Licensed in Arkansas and Texas. Registered with an NPI since 2013.

Licensed in
AR, TX
In the registry since
2013
Specialties on file
2

Practice location Address checks out

5510 Summerhill Rd
Texarkana, TX 75503-1822 Not confirmed with CMS for 13 years — call before visiting
Phone: (903) 792-2710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 1411 (TX)
Podiatrist Taxonomy 213E00000X · Licence 180 (AR)

Record details

NPI number1245665306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer O'Brien — Billing Specialist · (816) 832-8804
NPI enumeratedSeptember 9, 2013
Last updated in NPPESSeptember 9, 2013
Mailing address5510 Summerhill Rd, Texarkana, TX 75503-1822

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