Walls, Cody Lee

Walls, Cody Lee is an sole proprietor health care provider with primary practice located at 4001 Summerhill Rd , Texarkana TX 75503-2764. He recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Walls, Cody Lee can be contacted via phone (903) 794-3891.

Contact Information

Primary practice address
4001 Summerhill Rd Texarkana TX 75503-2764
Phone: (903) 794-3891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 168141 Texas
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 22756 Arkansas
Other Service Providers / Health Educator 174H00000X 1634643 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT4598 Texas

Profile Details

NPI number 1821341447
LBN Legal business name Walls, Cody Lee
Credentials ATC, LAT, EMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2012
Last updated Oct 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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