NPI age
15 years
Enumerated 2011-01-03
● Active
Type 1 · Individual
Toddy Jack, CEO
Jack is 1 of 19 contractor providers in Arlington and 1 of 801 in Texas.
Primary specialty
Contractor
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-01-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 801 active contractor providers in Texas.
NPI age
15 years
↑ 4 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 10% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Practice location
801 Road To Sixflags Street, 144
Arlington, TX 76012
Mailing address
801 Road To Sixflags Street, 144
Arlington, TX 76012
Specialties
-
Contractor PrimaryFor the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects...
-
Registered NurseDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 6787445908 | MULTIPLE LICENCE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.